Comprehensive Breast Program Referral Form
Please submit this form to refer your patient to Dartmouth Cancer Center for a second opinion, consultation, treatment, or follow-up care at the following locations:
Norris Cotton Cancer Care Pavilion, Lebanon
Dartmouth Hitchcock Medical Center
One Medical Center Drive
Lebanon, NH 03756
Phone: 603-653-3500
Fax: 603-643-7311
Email: comprehensive.breast.program@hitchcock.org
Dartmouth Cancer Center Manchester
Notre Dame Pavilion, Catholic Medical Center
87 McGregor Street
Manchester, NH 03102
Phone: 603-629-1828
Fax: 603-695-2855
Dartmouth Cancer Center Manchester
Dartmouth Hitchcock Clinics Manchester
100 Hitchcock Way
Manchester, NH 03104
Phone: 603-695-2840
Dartmouth Cancer Center Nashua
Dartmouth Hitchcock Clinics Nashua
2300 Southwood Drive
Nashua, NH 03063
Phone: 603-577-4170
Fax: 603-640-6882
Dartmouth Cancer Center Keene
Cheshire Medical Center
580 Court Street
Keene, NH 03431
Phone: 603-354-5466
Fax: 603-354-5468
Dartmouth Cancer Center St. Johnsbury
1080 Hospital Drive
St. Johnsbury, VT 05819
Phone: 802-473-4100
Fax: 802-473-4109