Maine General Information Questionnaire

State:
Multi-State
Control #:
US-01304BG
Format:
Word; 
Rich Text
Instant download

Description

The first part of this questionnaire is designed to be useful in most civil and criminal representations. The last part can be used when screening prospective personal injury litigation clients. The questionnaire can be completed by the attorney during a first meeting with prospective clients or mailed to the client in advance and reviewed at a first meeting.

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How to fill out General Information Questionnaire?

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FAQ

We adhere to the values and standards of RESPECT: Respect ? showing compassion and respect. Excellence ? doing our best at work and striving to exceed expectations. Safety ? maintaining a safe and secure environment and speaking up for safety.

MaineGeneral Health is a not-for-profit community health system with the mission to enhance, every day, the health of the people in the greater Kennebec Valley. We promote community health and well-being through clinical excellence and support of partnerships with like-minded community groups and organizations.

Managing your health has never been easier with MaineGeneral's FollowMyHealth® patient portal. You have instant access to your health information 24/7 from any computer or smartphone if you receive care at MaineGeneral. You can also sign up your child or another adult who needs help.

MaineGeneral provides services to patients regardless of their ability to pay. We accept all Maine private insurance plans, Medicare, MaineCare and TriCare and will submit insurance claims for you. We bill through MaineGeneral Medical Center (MGMC) and ask that you pay for co-payments at the time of service.

Please call (207) 872-4680 or (877) 255-4680, option 3, Monday through Friday, from 8 a.m. to p.m.

Our Health Care System MaineHealth affiliates include Maine General Health and St. Mary's Regional Medical Center. Joint Venture Partners include New England Rehabilitation Hospital of Portland. It is also a significant stakeholder in the MaineHealth Accountable Care Organization.

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Maine General Information Questionnaire