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Harrington Family Health Center
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Give us a Call
(207) 483-4502
Our Location
Harrington, Maine
Hours
Weekdays: 7:30am to 5pm
Patient Portal
Access your health information!

Patient Documents

Patient Documents

Download and print these PDF documents to complete prior to your appointment.

  • Sliding Fee Application
  • Registration Form
  • HIPPA Consent Form
  • HIPPA Consent Form – Child
  • Dental Health History – Adult
  • Dental Health History Child
  • Medical Records Release Form (Receive)
  • Medical Records Release Form (Send)
Give us a Call
(207) 483-4502
Our Location
Harrington, Maine
Hours
Weekdays: 7:30am to 5pm
Patient Portal
Access your health information!

© 2021 Harrington Family Health Center