COVID-19 Testing Information

Currently, we are performing both symptomatic and asymptomatic COVID-19 testing at Dartmouth-Hitchcock Medical Center (DHMC) in Lebanon.

Symptomatic testing

A Dartmouth-Hitchcock Health (D-HH) provider may request testing for any patient with symptoms concerning for COVID-19. According to the Centers for Disease Control and Prevention, any of the following symptoms may indicate COVID-19, if new and not explained by another health condition:

  • Fever or chills
  • Cough
  • Shortness of breath or difficulty breathing
  • Fatigue
  • Muscle or body aches
  • Headache
  • New loss of taste or smell
  • Sore throat
  • Congestion or runny nose
  • Nausea or vomiting
  • Diarrhea

Outpatient symptomatic testing is also available for D-HH employees and their families, patients from regional Upper Valley primary care “affiliates,” and Dartmouth College employees and students.

Asymptomatic testing

DHMC admissions

All patients being admitted to the hospital require COVID-19 surveillance testing. This includes planned as well as unplanned admissions.

  • Most pre-procedural admission testing is being done as an outpatient prior to admission.
  • If the patient is admitted within 72 hours of a negative surveillance test, repeat testing is not necessary.
  • If it has been more than 72 hours since a negative surveillance test, repeat testing should be done on admission.
  • There is no indication to repeat a positive COVID-19 test.
  • For patients undergoing a procedure at D-H that is not expected to result in hospital admission, we are not performing routine pre-procedural surveillance testing, but a D-H provider may request this testing if a positive result would result in canceling the procedure.

Community screening

We are performing community asymptomatic screening at DHMC for a family member or close contact of a confirmed COVID-19 case, a member of or health care worker at a group home/shelter, skilled nursing facility or long-term care facility, and all first responders

D-HH patients

For patients with a D-HH primary care provider (PCP) we are performing asymptomatic screening that is needed for college, work or travel. You or your primary care provider should call the D-H COVID-19 Hotline at 603-650-1818.

D-HH employees and their families

For D-HH employees and their families, we are performing asymptomatic screening that is needed for college, work or travel. Call Occupational Medicine at 603-653-3850 if you are symptomatic. For testing of symptomatic family members and asymptomatic testing for college, work, or travel, you or your primary care provider should call the D-H COVID-19 Hotline at 603-650-1818.

If you are not a D-HH patient

Call your primary care provider who will coordinate initial screening and, if appropriate, testing though the state. If you do not have a primary care provider, call your state health department. In New Hampshire, call the 211 state hotline; in Vermont, call 211 or 866-652-4636 toll free in Vermont, or 802-652-4636 from outside of Vermont. The NH Department of Health and Human Services has several community-based asymptomatic test collection sites across that state. See this map for locations. In Vermont, the Department of Human Resources has a website listing COVID-19 Testing Events and how to register.

If your patient needs testing

If you are a health care provider who has a patient about whom there is concern for the possibility of COVID-19, who does not require emergency department evaluation, and has either contacted you by phone, or is in an ambulatory practice, please ask the patient to don a mask and go home to self-quarantine pending further decisions on COVID-19 testing. Do not direct them to the DHMC Emergency Department.