How to Attend

1. Call 603-568-9237 to schedule a free test day to ensure the program is a good fit 
2. Complete Emergency Data Sheet & Medical Record Release Form (See at bottom of this page)
3. Nashua Adult Day Health will fax our referral request form to your physician along with the medical record release form and the physician will fax it back.
4. The referral and supporting document will be sent to your insurance for approval
5. Nashua Adult Day Health will contact you once you are approved 

Nashua Adult Day Health owns its fleet of vehicles, allowing the program to provide safe and consistent transportation to and from the program

Physician Referral Form
File Size:	122 kb
File Type:	pdf

Download File

---

Emergency Data Form
File Size:	207 kb
File Type:	pdf

Download File

---

Lamprey Medical Release Form
File Size:	620 kb
File Type:	pdf

Download File

---

Dartmouth Hitchcock Medical Release
File Size:	861 kb
File Type:	pdf

Download File

---

Southern NH Med Medical Release Form
File Size:	499 kb
File Type:	pdf

Download File

---

Foundation Medical Partners Medical Release Form
File Size:	575 kb
File Type:	pdf

Download File

---

St. Josephs Medical Release Form
File Size:	598 kb
File Type:	pdf

Download File

---

Our Team

Kyle Worth, MBA
Founder & Executive Director

With a background in healthcare finance and accounting, Kyle has worked closely with Adult Day Health centers since 2012. Kyle founded Maintaining Independence in Hooksett, NH in 2013, which quickly grew to NH's 2nd largest adult day health program, before being acquired by The Mentor Network in 2018. After transitioning out of his role at Maintaining Independence, Kyle founded Nashua Adult Day Health. While not at work, Kyle enjoys bass fishing, boating, rooting on New England sports teams and spending time outdoors with his family.

Erin Worth, CPA
Chief Financial Officer

Erin brings 6 years of experience of auditing, taxes and consulting from her public accounting career. Erin was also the CFO for Maintaining Independence and oversaw the full revenue cycle for the organization.