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Hometown Health Center

Hometown Health Center

The right choice for your health

  • About Us
    • Newport Office
    • Dexter Office
    • History
    • Mission, Vision, Values
    • Patient Centered Medical Home
    • Our Providers
      • Directors
    • CEO Message
  • Services
    • Medical Services
    • Dental Services
    • Behavioral Health Services
    • Maine Breast and Cervical Health Program
    • Additional Services
  • Patient Center
    • Patient Portal
    • New Patient Packet
    • Health Insurance Marketplace
    • Sliding Scale
    • 340B
    • Prescription Assistance
    • Resources & Information
    • HIPAA
    • Medicare Wellness
  • Join Our Team
    • Application
    • Potential Board Members
  • News & Videos
    • CDC Centers for Disease Control and Prevention
    • Nutrition
  • Contact Us
    • Phone Directory
1-866-364-1366

New Patient Packet

Welcome to the New Patient Packet page.
This is your New Patient Packet.

Get comfortable because there are some forms you need to fill out, so that we will have the most up-to-date information about you and your history.

Some forms you will need to sign and return to us.

Here’s what you need to do to help us serve you better:

  • Complete and sign the Authorization to Release Health Care Information
  • Complete and sign the Registration form
  • Complete the Health History form
  • Return the above documents to us: mail them, drop off at our office, or bring with you when you come but please arrive early.

Please bring the following items to your first visit:

  • Photo ID
  • Insurance Card, if you have one
  • Co-pay (we accept cash, checks, and credit cards)

Thank you for choosing HOMETOWN Health Center. Our promise to you is that you will receive the best health care possible.

  • Welcome Letter
  • Registration Form
  • Health History
  • Authorization to Release Health Care Information
  • Information, Privacy, and Security Policy
  • 340B Information
  • Missed Appointment Policy

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Our Services

  • Medical Services
  • Dental Services
  • Behavioral Health Services
  • Sliding-Fee Scale Program
  • Rx Assistance

Locations

  • Dexter Office
  • Newport Office

Patient Portal

The patient portal currently allows patients to request appointments, ask their care team medical questions and also ask billing questions.

To sign up, please call to request a token or ask the patient specialist for a token at your next visit.

Patient Portal

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About Us

  • History
  • Mission, Vision, Values
  • Patient Centered Medical Home
  • Our Providers
  • CEO Message
  • Dexter Office
  • Newport Office

Services

  • Medical Services
  • Dental Services
  • Behavioral Health Services
  • Maine Breast and Cervical Health Program
  • Additional Services

Patient Center

  • Patient Portal
  • New Patient Packet
  • Health Insurance Marketplace
  • Sliding-Fee Scale Program
  • 340B
  • Care Credit
  • Prescription Assistance
  • Resources & Information
  • HIPAA
  • Medicare Wellness

Hometown Health Center receives grant support from the United States Department of Health and Human Services.  Hometown Health Center does not discriminate on basis of gender, race, creed, color, religious affiliation, national origin, ancestry, age, family status, sexual orientation or disability in either the delivery of services or in its employment practices. We are a Federally Qualified Health Center (FQHC) and so covered by the Federal Tort Claims Act (FTCA), meaning all malpractice claims are subject to federal procedural law.

As a National Health Service Corps Site, we promise to serve all patients; offer discounted fees for patients who qualify; and not deny services based on a person’s: race, color, sex, national origin, disability, religion, sexual orientation, or inability to pay. We accept insurance, including: Medicaid, Medicare, and Children’s Health Insurance Program (CHIP). HHC is a member of the National Health Service Corps: NHSC.hrsa.gov. U.S. Department of Health and Human Services Health Resources and Services Administration.

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