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Hometown Health Center

Hometown Health Center

The right choice for your health

  • About Us
    • HHC’s Future Home
    • Newport Office
    • Dexter Office
    • School Based Health Center
    • History
    • Mission, Vision, Values
    • Patient Centered Medical Home
    • Our Providers
      • Directors
    • CEO Message
  • Locations
  • Services
    • Resources & Information
      • Community Resources
      • Diabetes
      • High Blood Pressure
      • HIPAA
      • Maine Breast and Cervical Health Program
      • Maine’s Health Insurance Marketplace
      • Medicare Wellness
      • Patient Portal
      • Quitting Tobacco
    • Medical Services
    • Telehealth
    • Dental Services
    • Medication Assisted Treatment (MAT)
      • NARCAN – What You Need to Know
    • Behavioral Health Services
    • Patient Portal
    • School Based Health Center
    • Sliding Scale
    • Prescription Assistance & 340B
    • New Patient Packet
  • Join Our Team
    • Apply Now
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    • Application
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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.

Download your New Patient Packet here!

 

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Our Services

  • Medical Services
  • Dental Services
  • Medication Assisted Treatment (MAT)
  • Behavioral Health Services
  • Telehealth
  • School Based Health Center
  • Sliding-Fee Scale Program
  • Rx Assistance & SUNRX 340B
  • Join Our Team
  • HHC’s Future Home
  • Donate Now – Support our New Facility

Locations

  • Dexter Office
  • Newport Office
  • School Based Health Center

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About Us

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

Services

  • Resources & Information
  • Medical Services
  • Dental Services
  • Medication Assisted Treatment (MAT)
  • Behavioral Health Services
  • School Based Health Center
  • Sliding-Fee Scale Program
  • Prescription Assistance

Patient Center

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

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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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