Are you interested in becoming a New MMP Family Medicine Patient? Please call (207) 874-2466 to talk to one of our Intake Specialist. To help you be seen as quickly as possible when you arrive for your visit, you have the option to print and complete the following forms and bring them with you to your appointment. You may als fax the forms to MMP Family Medicine at (207) 774-4625 for Portland, or (207) 781-1507 for Falmouth.
* New Patient Registration Form.
** Release of Records / Communication Release - all (.pdf)
** HIPAA (Health Insurance Portability and Accountability Act) Website
** HIPAA Handout - MMC Policy (.pdf)
New Integrative Medicine patient? Please visit 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.
'MyChart' MyChart is a secure, online tool that lets you connect with your health care provider and manage your health information. WIth MyChart you can:
** View your health inforamtion, labs and test results, appointments, medications, allergies and immunizations
** Send a message to your physician's office
** Request or cancel an appointment
** Request a prescription refill
** Review medical information for someone in your care (with proxy access)
For more information, visit Maine Health MyChart site.
To register for this free tool, contact our office.
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