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Care & Services
Clinical Services
Find a Doctor
Maine Medical Partners
Autism & Development Disorders Inpatient Research Collaborative (ADDIRC)
Cardiovascular Institute - Heart Health at Maine Medical Center
Community Prevention and Wellness - Maine Medical Center
Clinical Departments - Emergency Medicine
Patients, Families, and Visitors - Maine Medical Center, Portland, Maine
Maine Digestive Health Center at Maine Medical Center
Maine Medical Center Scarborough Surgery Center
Neuroscience Institute at Maine Medical Center
Surgical Services at Maine Medical Center
Palliative Care - Maine Medical Center
Portland Identification and Early Referral
Maine Medical Center - Cancer Care At MMC
Maine Medical Center - Maine Transplant
Maine Medical Center - Maine Transplant Program - Message from tjhe Director
Geriatric Care | Maine Medical Center
Maine Medical Center - Department of Emergency Medicine
Maine Medical Center - Integrative Medicine Services
Maine Medical Center - Nephrology and Kidney Transplantation Highlights:
Maine Medical Center - Internal Medicine-Pediatrics
Psychiatry, Maine Medical Center, Adult, Child, Mental Health in Southern Maine
Maine Medical Center - Nutrition Services
Maine Medical Center - Family Medicine
Psychiatry Residency Programs - Maine Medical Center - Department of Psychiatry
About Radiology - Maine Medical Center
Maine Medical Center - Rehabilitation Medicine
Maine Medical Center - Respiratory Care
Patient and Family Services
Maine Medical Center - Vocational Services - Who We Are
Maine Medical Center - Women's Care

PATIENTS & VISITORS


Emergency Medical Information Form

Keep this form with you at all times if you have a chronic condition so that EMS or emergency room personnel can have quick access to your medical history, medications you are taking and other important information. 

To complete the form, click on the link above, fill in the gray fields, then save it to your computer or a disk and print as many copies as you need.

Make sure that you update the form regularly! Your information will remain strictly confidential - MMC will not be able to view it or save it.

Now available as a wallet card! 



Download and print the Emergency Medical Information Wallet Card.
Print the two-sided card no letter-sized paper, cut out, fill in your information and fold along the dotted lines OR call (207) 662-2196 and request that one be mailed to you.

Find a Doctor
Locations & Directions

 

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Maine Medical Center | 22 Bramhall Street | Portland, Maine 04102-3175 | (207) 662-0111