Patient Forms

For your convenience, we offer secure online patient forms that are processed electronically. We ask that all new patients complete our New Patient Health History form online prior to their first appointment.

All patients should complete the Supplemental Consent and Health Questionnaire before every appointment. Please contact our office if you have any questions about these forms.

Do to an increase in COVID-19 cases in central Maine:

If your child’s school is closed due to COVID-19 precautions, we will need to reschedule their appointment until after they are able to return to school.

If anyone in the patient’s household has been in direct contact with someone who tested positive for COVID-19 we may need to reschedule their appointment for 14 days after the date of contact.

1. New Patient Health History Form

2. Acknowledgment of Privacy Practices

3. Supplemental Informed Consent

4. Supplemental Health Questionnaire