Patient Portal (NextMD) Enrollment Form
New and established patients of Core Physicians can use this form to request enrollment in the Patient Portal (NextMD).
Once we receive your completed form and after validating your information, we will notify you of your temporary enrollment token number. You will also receive an email with instructions on how to use this token number to complete your patient portal enrollment.
Enrollment token numbers are only offered to adults 18 years of age or older.
For further assistance, please call 603-580-6753.