COVID-19 Vaccination Waitlist
Please note: this form is to request an appointment for a COVID-19 vaccination. It does not guarantee an appointment or a vaccination. We have requested doses from the State of Maine, however, we do not know when (or if) we will receive additional doses. We recommend that you get the vaccination as soon as you are able to do so, wherever that may be.
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Please only complete this medical history form if you are scheduled with an OA Centers for Orthopaedics provider or are scheduled for surgery in the Surgery Center at OA Centers for Orthopaedics, 33 Sewall Street, Portland.
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Our orthopaedic, radiation oncology and vascular and interventional radiology divisions are providing web-based and/or telephonic appointments for patients when appropriate.
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