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

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.

Other Helpful Resources:

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
* Obstetrics/Genecology
* Dermatology
* Group Visits
* Integrative Medicine

* Podiatry
* Qualifying Medication Program
* Sports Medicine
* Vasectomy

     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

 

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