Resources

Listed below are some of the forms used most frequently by our patients.  Each link will open in a new window for your convenience.

Forms and Documents

  • Directions to the Office
  • Pre-appointment Questionnaire
  • HIPPA consent
  • Medical Records Release Form – for records to be sent to us
    Any records that need to be sent from this office require a signed release from the receiving physician office
  • Notice of Privacy Practices
  • Directions to the Office

  • Online Forms

    General Question | Request for Consultation | Patient Information | Prescription Refill Request

    Helpful Websites

    General Medical
    American College of Osteopathic Physicians
    FamilyDoctor.org
    Lab Tests Online
    Diabetes Education
    MedlinePlus: Diabetes
    WedMD Diabetes Health Center
    Pediatrics
    Age-by-age guide to feeding your baby
    Wholesome Homemade Baby Food
    Prenatal and Pregnancy Care
    BabyCenter, topics for pregnancy

    Our Office:

    • Office Hours
      Monday - Friday 8 - 5
    • Appointment times
      Monday 8 - 5
      Tuesday 12 - 5
      Wednesday 9 - 2
      Thursday 8 - 5
      Friday 8 - 12
    • Our Location
      603 Main Road North
      Hampden, ME 04444
      Office: (207) 945-5400
      Fax: (866) 463-6751