Please note that you will need to open these forms using Adobe Acrobat
As a new patient you can simply download the appropriate forms below and complete them prior to your first visit to expedite the check in process. Every patient will need to complete all of the following:
Patient Information Sheet (PLEASE make sure to use complete name, phone numbers, and email address in the appropriate fields.)
Medical History (If you have a lengthy medication list please bring it with you and we will make a copy)
Consent for Treatment
Because the information on these forms is confidential we ask that you please complete the forms, print them out and bring them with you to your first appointment. If you have access to a fax machine you can safely fax these forms to us at 855-464-0106. If at any time you have a question or concern please call our office at 207-657-5600.
Please note: In order for us to make sure we're ready for your first visit please submit your paperwork as soon as you can.
Also note that when you open the documents below the text fields should open with a BLUE box. If they do not then you may need a different version of Adobe or you can print the forms and complete by hand.