For Physicians

At Maine Medical Partners Neurosurgery & Spine, we are committed to making the intake process an easy and efficient task.

This page provides all the information and forms necessary to submit evaluation requests to Maine Medical Partners Neurosurgery & Spine. Our Intake Team is here to assist you, answer any questions and ensure that your referrals are handled expeditiously.

We look forward to working with you to bring the most appropriate, quality care to each and every patient in a professional and timely manner.

YOUR Patient Registration TEAM and the Intake Process:

To request a consult for one of your patients at Maine Medical Partners Neurosurgery & Spine – the Request for Evaluation form and requested materials should be faxed to (207) 885-4406. Telephone inquiries should be directed to (207) 885-4482. Upon receipt of the completed Request for Evaluation form and copies of the most recent clinical notes and diagnostic reports, our physicians will determine the urgency of the patient’s problem and make an appointment for the patient. Please note that we cannot process any intake without all of the requested information.

The patient will be contacted via telephone with the date and time of the appointment, and your office will receive a fax with this information. A thorough informational packet will also be mailed to the patient regarding the upcoming appointment.

The Form – Request for Evaluation

It is essential that this form is completed with the most up-to-date patient information, including the patient’s chief complaint, clinical notes related to the proble and prior 3 months’ notes, current medications and the type of evaluation requested. This form should be faxed to (207) 885-4406, for both neurosurgical and spine center referrals. Remember – the more detailed information we receive, the quicker we are able to determine and address the specific needs of the patient.

Download the Request for Medical Evaluation

Managing the Patient’s Care Plan – Working Together

We know that communication between providers is an essential key to managing a patient’s care plan. Our physicians, extenders and staff are committed to keeping the lines of communication open and working together to create a cohesive team – informed and involved in the patient’s care plan.

Your Physician Liason:

Should you have any questions regarding this process or have a concern you would like to discuss, please do not hesitate to contact Sarah Dickson, our Practice Communications Manager at (207) 885-4479. It is our goal to serve you, the physician, as well as the patient, to ensure the highest quality care for our mutual patients.