Family Planning Program
IMPORTANT NOTICE
Regarding Our Family Planning Services
As of September 30, 2025, CAPBM is no longer able to provide Family Planning Services.
To transfer your records to another provider please complete and return this Disclosure Authorization Form.
Medical Records will be transfered to your provider within 30 days of your request being received.
To leave a voicemail message plesae call (603) 524-5453.
(Please Note: voicemail is only checked periodically)
You may return your Disclosure Authorization Form securely by any of the following methods:
- Email to: FamilyPlanning@capbm.org
- Fax to: (603) 528-2795
- Ground Mail to:
Family Planning - Confidential
CAPBM
PO Box 1016
Concord, NH 03302-1016