For New Patients to HealthReach

To establish care at your local health center, please fill out the Authorization to Disclose Health Care Information form. This authorization allows HealthReach to retrieve your patient's medical records from your prior primary care provider. If you do not currently have a primary care provider, we still ask that you complete the Authorization to Disclose Health Care Information form to give HealthReach permission to retrieve any existing medical records. Once this form has been completed, please mail or fax to the health center of your choice - for your convenience, all of our local health centers are listed at the bottom of these instructions. If you or someone in your family is a new patient, you must also coplete the General Consent to Treat form. Please choose the form that corresponds to your age/preferred language or the age/preferred language of the family member who will be a new patient. Once you have completed this form, please mail or fax to the health center of your choice listed below.

English: En Español: Below, you will also find HeathReach's Patient Bill of Rights and Responsibilities; and the HealthReach Notice of Privacy Practices in both English and Spanish. These are informational only and do not need to be returned.

English: En Español: Through funding from the U.S. Bureau of Primary Health Care, we also offer an Affordable Care Program. This program reduces the amount you pay for health center services based on your income and family size. We have provided the Affordable Care Application below. For additional information, please visit the Affordable Care Program information portion of our website.

Your local health center may also request additional forms be completed. These forms will be provided to you either before or at your first appointment.

HealthReach Community Health & Dental Center Locations

Belgrade Regional Health Center

    4 Clement Way, Belgrade, ME, 04917-4370 | Directions
    Tel: (207) 495-3323
    Fax: (207) 495-3353

Bethel Family Health Center

    32 Railroad Street, PO Box 1367, Bethel, ME, 04217-1367 | Directions
    Tel: (207) 824-2193
    Fax: (207) 824-3005

Bingham Area Health and Dental Center

    237 Main Street, PO Box 746, Bingham, ME, 04920-0746 | Directions
    Tel: (207) 672-4187
    Fax: (207) 672-3641

    🦷 Dental Center
    Tel: (207) 672-3519 Fax: (207) 672-3641

Bulldog Health Center
(School-Based Health Center at Lawrence High School)

    9 School Street, Fairfield, ME, 04937| Directions
    Tel: (207) 861-9666
    Fax: (207) 495-3353

Lovejoy Health Center

    7 School Street, Suite 1, Albion, ME, 04910-6501 | Directions
    Tel: (207) 437-9388 Fax: (207) 437-2557

Madison Area Health Center

    8 South Main Street, PO Box 120, Madison, ME, 04950-4501 | Directions
    Tel: (207) 696-3992
    Fax: (207) 696-3974

Mt. Abram Regional Health Center

    25 Depot Street, Kingfield, ME, 04947-4208 | Directions
    Tel: (207) 265-4555
    Fax: (207) 265-5004

Rangeley Family Medicine

    42 Dallas Hill Road, PO Box 569, Rangeley, ME, 04970-0569 | Directions
    Tel: (207) 864-3303
    Fax: (207) 864-2969

Richmond Area Health Center

    24 Gardiner Street, Richmond, ME, 04357-1336 | Directions
    Tel: (207) 737-4359
    Fax: (207) 737-4412

Sheepscot Valley Health Center

    47 Main Street, PO Box 207, Coopers Mills, ME, 04341-0207 | Directions
    Tel: (207) 549-7581
    Fax: (207) 549-3439

Strong Area Health and Dental Center

    177 North Main Street, Strong, ME, 04983-3005 | Directions
    Tel: (207) 684-4010
    Fax: (207) 684-3368

    🦷 Dental Center
    Tel: (207) 684-3045 Fax: (207) 684-3049

Western Maine Family Health Center

    16 Depot St, Suite 300, Livermore Falls, ME, 04254-1311 | Directions
    Tel: (207) 897-4345
    Fax: (207) 897-2321


Contact your local health center for more information.

HealthReach Community Health Centers complies with applicable Federal civil rights laws and does not discriminate, exclude people, or treat them differently on the basis of race, color,
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