Free Asthma Home Visit

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McGregor EMS is offering free asthma home visits to help families in NH better manage and identify common asthma triggers which may exist in the home. This is paid for by a federal grant and there is no cost to you or your insurance.

Once you fill out this form we will reach out to you to schedule a visit and discuss next steps. We look forward to meeting you!

Last Name *

First Name *

What city/town do you live in? *

Phone Number *

Email Address *

How should we contact you to schedule a visit?

Phone Call

Text Message

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What days / times are typically best?

How did you hear about us?

My or my child's doctor office

My child's school or camp

A community resource (Goodwin Health, Community Action Partnership, etc)

Community newsletter

Other:

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