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 MMP Family Medicine Center
Portland & Falmouth
~ Forms & Information ~

To help decrease down time during your visit, feel free to download, print, and out fill the appropriate forms that pertains to you and bring to your appointment, or Print out any form and Fax to ... Portland at (207) 774-4625 Falmouth at (207) 781-1507

Are you interested in becoming a New MMP Family Medicine Patient? Please call 207-874-2466 to talk to one of our Intake Specialist. New Patient Registration Form.

New Integrative Medicine patient? Please go to the Integrative Medicine page for information and an intake form to bring to your first visit. You will need a referral from your PCP so be sure you have a referral from your Primary physician prior to setting up your first appointment.

** Release of Records / Communication Release - all (.pdf)
** HIPPA (Health Information Privacy Protection Act) Website
** HIPPA  Handout - MMC Policy
(.pdf)

*** Please use 'MyChart' to email your
doctor/team for refills/questions/etc.
** MyChart Information (Website)

CARE PARTNERS:  Do you qualify?  Click here for more info

MAINE CARE: Maine.gov website / Information

HEALTH INSURANCE MARKETPLACE: HealthCare.gov / Info

Important Information about 'Preventive Care or Annual Physicals'

** Maine Advanced Directive form(.pdf)   /   Fact sheet from Maine.gov. Website

** DMV form for Disability Plates/Placecards (.pdf Fill out)


CURRENTLY, FAMILY MEDICINE CENTER OFFERS THEIR  PATIENTS:
* Behavioral Health (consults & counseling)

* Colposcopy
* Dental Services

* Geriatrics
* Obstetric/GYN
* Dermatology
* Group Visits
* Integrative Medicine

* Podiatry
* Qualifying Medication Program
* Sports Medicine
* Vasectomy

 

Click here to go to
FamilyDoctor.org's article on Understanding Your
Medical Bills

 

Learn about the classes offered at the Learning Resource Center 

 

 

272 Congress Street | Portland, Maine | 04101 | (207) 874-2466
5 Bucknam Road | Falmouth, Maine | 04105 | (207) 781-1500
Toll free: 1-800-265-7703