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Patient Forms

New patients, please print and fill out a health history, patient information and notification, and HIPAA form and bring these with you to your first appointment.

New Patients:

  • Health History – Adult
  • Health History – Pediatric
  • Patient Information and HIPAA Notice

Patient Waivers:

  • Authorization to Release Information
  • Authorization to Obtain Information
  • Workers Compensation Authorization
  • Auto Med Pay Authorization

Osteopathic Healthcare of Maine

98 Clearwater Drive
Falmouth, ME 04105 

Phone: (207) 781-7900
Billing: (207) 798-1889
Fax: (207) 781-2900 

Offices Hours

     Monday, Tuesday, Thursday, Friday: 8:00 AM to 5:00 PM
     Wednesday: Limited Availability
     Saturday and Sunday: CLOSED

Summer hours only (Memorial Day to Labor Day)

     Monday – Thursday: 8:00 AM to 5:00 PM

     Friday: Limited availability

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Osteopathic Healthcare of Maine. All rights reserved.

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