The Village Doctor, Benjamin G. Newman, MD 207-963-2001

Patient Resources

The Village Doctor

Patient Forms

New Patient History Form - Required for all new patients

Patient Information and Consent Form - To be completed by patient or authorized representative.

HIPAA Notice of Privacy Practices - Describes how medical information about you may be used and disclosed

Authorization to Release Medical Records to Dr. Newman

Online Resources

PLEASE NOTE: Links from our website to external sites are not under the control of The Village Doctor. We can make no representation concerning the content, quality, safety, suitability, or availability of these sites.
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