PAIS Support Page

For AIS/PAIS Members with Questions or Problems...

PAIS users with questions or problems can always contact Dave Hale at (603) 653-3273 or Randy White at (603) 653-3297. We have also set up this page to provide answers and solutions to questions and problems that we have learned to anticipate.

If you are having a problem, we suggest starting with the Frequently Asked Questions section.

If you would like to download the latest version of the AIS Patient Authorization Form, use the link at the bottom of this page. This is offered as a PDF file, which requires the Adobe Acrobat Reader software to view or print. If you don't have Acrobat Reader, you can download it for free from Adobe Systems. If you need forms for PAIS, e-mail Affilliate Access or call (603) 653-3272.

Attachments:
AIS Patient Consent Form (PDF)
AIS Patient Consent (Southern Region) (PDF)