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Medical History Form

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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Maine Ortho Patient Portal

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  • 324 Gannett Drive, Suite 200
    S. Portland, Maine 04106
    Phone: 207-482-7800
  • 6 State Street, Suite 611
    Bangor, Maine 04401
    Phone: 207-947-8313