Patient forms.

It's easy to get started with us -- all the forms you need are right here. Just download them, fill them out, and when you're done, you can print them out and bring them with you or email them to us at

Welcome and Payment Policy

Patient Registration Form

Patient Media Release Form

Authorization for Release of Medical Records

Consent for Care and Financial Form

Patient Consent to Receive Mail

Patient Privacy Guidelines (HIPAA Acknowledgement)

I'm a paragraph. Click here to add

AtlanticProCare is the leading provider of prosthetic limbs in Maine, serving patients seeking customized mobility solutions for amputation.


AtlanticProCare Portland
1274 Congress Street, Portland, Maine 04102
P: 877-538-8825   F: 207-774-9002

AtlanticProCare Auburn

690 Minot Avenue, Suite 2, Auburn, Me 04210

P: 877-538-8825   F: 207-774-9002

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