Medical Records Request Form

To download and print your medical records request, please choose your site-specific location from the drop down menu below.

Click here to download your printable PDF request form.

Mail your completed, signed, and dated form to:
Central Maine Orthopaedics
HIM Department
690 Minot Avenue
Auburn, ME
FAX:  207-783-9086

Click here to download your printable PDF request request form. 

Mail your completed, signed, and dated form to:
Falmouth Orthopaedic Center
20 Northbrook Drive
Falmouth, ME  04105
FAX:  207.781.4426

Click here to download your printable PDF request form. 

Mail your completed, signed, and dated form to:
MaineOrtho
33 Sewall Street
Portland, ME  04102
FAX : 207-781-4426 (Portland)
FAX:  207-743-5026 (Norway)

Click here to download your printable PDF request form.

Mail your completed, signed, and dated form to:
OA Centers for Orthopaedics
HIM Department
33 Sewall Street
Portland, ME  04102
FAX:  207-553-7168

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