Request An Appointment

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Select Your Spectrum Orthopaedics Service Location*
Patient Information
Name*
First Middle Last
Email*
Phone*
Date of Birth
Month
Day
Year
Preferred Method of Contact
- Phone
- Email
May we leave you a message?
- Yes
- No
Contact Information
Name*
First Middle Last
Email*
Phone*
Preferred Method of Contact
- Phone
- Email
May we leave you a message?
- Yes
- No
Appointment Details
About Your Injury
Describe the Injury or Problem
Referred by (Physician)
If there is a specific provider you would like to be scheduled with, enter their name here:

PLEASE NOTE: not all of our providers see patients at every location listed above.
Email
This field is for validation purposes and should be left unchanged.

324 Gannett Drive, Suite 200
S. Portland, Maine 04106
Phone: 207.482.7800
For billing questions,
click here
6 State Street, Suite 611
Bangor, Maine 04401
For billing questions,
click here

Patient Information