Book an Appointment

For Your Appointment

To schedule an appointment: Call us at 207-874-1065. Please have the following information available:

  • Insurance information. Have your insurance card with you when you speak with us and bring it along with your photo ID to your appointments
  • Primary Care Physician and Referring Specialist information
  • Patient name, date of birth, address, phone number, etc.
  • Reason for appointment (i.e., concerns, etc.)
  • Patient availability for scheduling

For your convenience and to expedite the check-in process, please print and complete the following forms prior to your first appointment at Northeast Hearing & Speech.

(You will need Adobe Acrobat Reader to download and print these forms. Click here to download)

For a link to fillable forms that are automatically submitted, please contact us at 207.874.1065 or email us at: [email protected].

  • Name * Required
  • Date Format: MM slash DD slash YYYY
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