How to Make an Appointment
Thank you for your interest in Maine Medical Center’s Geriatric Center. We look forward to working with you to provide the information and tools you need to stay healthy and independent as you age.
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 and the Authorization to Release Medical Information and Records* form (pdf format) and fax them to:
Attention: Sherry Johnson
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 or email firstname.lastname@example.org.
If you prefer, you may contact our Medical Office Assistant directly with your information: Sherry Johnson, (207) 662-2847.
* If you are from a physician’s office and are making this referral on behalf of a patient, you only need to complete the Geriatric Center Intake form.
Click on the following forms to download:
Geriatric Center Intake Form (pdf)
Authorization to Release Medical Information and Records Form (pdf )