Request An Appointment

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Select Your Spectrum Orthopaedics Service Location*
Patient Information
Name*
First Middle Last
Email*
Phone*
Date of Birth
MM
DD
YYYY
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.
Name
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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