Eyecare Medical Group

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Eyecare Medical Group
53 Sewall Street
Portland, Maine 04102
207-828-2020
Fax 207-773-7034

From outside the Portland area,
call toll-free:
1-888-374-2020

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Patient Forms from Eyecare Medical Group in
Portland Maine

ACKNOWLEDGEMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES

REQUEST FOR ACCESS TO MEDICAL INFORMATION

NOTICE OF PRIVACY PRACTICES

NEW PATIENT LETTER

PATIENT INFORMATION

SUMMARY OF PRIVACY PRACTICES