Forms & Insurance
New Patient Forms-Please complete both forms
New patients can save time during their first visit by completing and submitting the following forms online. Simply click on the form’s title to submit the requested information. Please note that all information submitted via these forms will be kept confidential as befits the nature of the contents.
Please complete both forms
If you have a lengthy medication list, please bring it with you and we will make a copy
New patients should plan to arrive 15 minutes early for their first appointment.
205 Portland Rd
PO Box 1047, Gray, Maine 04039
Tel: (207) 657-5600
Fax: (855)-464-0106
office@grayptcenter.com
Founding Members of:
Proudly Serving The Following Communities:
Gray, New Gloucester, Raymond, Cumberland, North Yarmouth, Pownal
Gray, New Gloucester, Raymond, Cumberland, North Yarmouth, Pownal
Our Affiliate:
Premier Physical Therapy
316 Portland Rd
Bridgton, Maine 04009
Tel: (207) 647-2727
205 Portland Rd
PO Box 1047, Gray, Maine 04039
Tel: (207) 657-5600
Fax: (855)-464-0106
office@grayptcenter.com
Our Affiliate:
Premier Physical Therapy
316 Portland Rd
Bridgton, Maine 04009
Tel: (207) 647-2727
Founding Members of:
Proudly Serving The Following Communities:
Gray, New Gloucester, Raymond, Cumberland, North Yarmouth, Pownal
Gray, New Gloucester, Raymond, Cumberland, North Yarmouth, Pownal