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Resources

Download Forms

Join us in our efforts to reduce waiting time and to increase time with our patients.
Please download, print and fill in the form(s) that applies to you prior to your appointment:

Advanced Directive
maine-advance-directive.pdf
71.8 KiB
Affordable Care Program Application
Affordable-Care-Program-Application-2017-05-03.pdf
1.0 MiB
Authorization to Obtain Prescription History
RxHistoryConsent-2016-08-16.pdf
198.9 KiB
Authorization to Release Health Information
Release-of-Information-Combined-2017-06-14.pdf
247.2 KiB
Authorization to Treat
Authorization-to-Treat-2014.pdf
103.7 KiB
Bus Driver Examination Form
Bus-Driver-Examination-Form.pdf
120.0 KiB
Caregiver Communication Form
Caregiver-Communication-2016-09-21.pdf
379.0 KiB
Commercial Driver Medical Examination Form
Commercial-Driver-Medical-Exam.pdf
414.3 KiB
Disability Plates/Placards Applications, BMV
Disability_Placard_Plates_form.pdf
113.3 KiB
Driver Medical Evaluation, BMV
Driver_Medical_Evaluation_Form.pdf
94.2 KiB
Generic Drug List, Hannaford
Generic-drug_list_hannaford.pdf
346.8 KiB
Patient Contact Information Form
Patient-Contact-Information_SeaportCHC.pdf
277.1 KiB
Patient Information Form
Patient-Information-Form-2016-10-28.pdf
724.2 KiB
School Asthma Plan, RSU20
School-Asthma-Plan.pdf
47.7 KiB

If you have any questions concerning one of the above forms, please contact our administrative office at 207‑338‑6900

Thank you for your support.

Links

MEDLINEplusThe National Library of Medicine’s source for scientific research.
HealthfinderInformation & resources from Dept of Health & Human Services.
International TravelHealth advice for international travelers from the CDC.
FamilyDoctorPatient info from the American Academy of Family Physicians.
PediatricsDr. Green’s House Calls from pediatrician Alan Greene, MD.
Mayo ClinicHealth Oasis: reliable health information from the Mayo Clinic.
NIH Senior HealthBasic health and wellness information for older adults from the National Institutes of Health.
Self-help GroupsSupport & self-help from Dept of Health & Human Services
BioMed SearchArticles & research on medical topics

Foundations & Associations:

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Universities & Health Systems:

Ten Common Prevention Tools

Screening tests are helpful in finding certain diseases at an earlier, more treatable stage. They can also lead to unnecessary tests and treatments that do more harm than good. We follow the U.S. Preventive Services Task Force guidelines because they are the most unbiased, scientific information available. But these are only guidelines: the final decision lies with you, in consultation with your doctor. And patients with symptoms or signs of cancer and other illnesses will be managed with diagnostic tests, not screening ones. Generally speaking, vaccinations are the safest and most effective treatments in all of medicine. The Quality Management section of your electronic medical record will tell you which screening tests and preventive measures are recommended and overdue.

  • Abdominal Aneurism: Age 65, an ultrasound performed once for men over the age 65 who have ever smoked.
  • Blood Clots: Age 50, uncoated chewable aspirin 81 mg daily or 325 mg every other day for people at risk for heart disease or stroke.
  • Osteoporosis: Age 65, a bone scan for all women, or earlier if risk factors exist.
  • Colon Cancer: Age 50, colonoscopy every 10 years or stool tests annually.
  • High Blood Pressure: Every office visit. Normal = 140/90 age 18-59, 150/90 age 60+.
  • High Cholesterol: Treat patients with diabetes and heart/kidney/vascular disease.
  • Breast Cancer: At age 50-74, mammograms for women every other year.
  • Cervical Cancer: At age 21, pap smears for women every 2 years; age 30-65, pap smears for women every 5 years if also tested for HPV.
  • PSA: Never routinely. It is often monitored after prostate cancer treatment.
  • Shingles: At age 60, a shingles vaccine is performed once, or 5 years after the last outbreak of shingles to prevent its recurrence.