In an effort to make our intake process more efficient, forms are available on this website for you to download and fax to our Medical Office Assistant/Intake Coordinator. Please complete both the Geriatric Center Intake form (.pdf) and the Authorization to Release Medical Information and Records* form (.pdf) and fax them to:
(207) 662-6434 (fax)
We will contact you by phone to set up an appointment. If you have any questions, or if you have not received a confirmation, please do not hesitate to contact us at (207) 662-2847.
Physicians, please call (207) 662-2847