Patient Forms and Notices

Your MaineHealth care provider may ask you review, complete and/or sign one or more of the following documents:

• Acknowledgement of Receipt of HIPAA Booklet
• Authorization for Cell Phone Contact
• Health InfoNet Brochure
• Health InfoNet Opt-Out
• Hospital Consent to Treat
• Medicare Outpatient Observation Notice (MOON)
• Notice to Patients about Outpatient Observation
• Outpatient Consent to Treat