Southern Maine Integrative Health

New Patient info & Patient Forms

Dr. Mulcahy is not accepting:
- New patients who want him to be their Primary Care physician
- HMO insurance plans
- New Medicare or Mainecare plans, including those who are already patients

Receipt of Notice of Privacy Policies & Consent Form


Registration Form

Adult Intake Form  

Office Policies


Financial Policies

Child Intake Form  
Individual Patient's Authorization Form  
Privacy Policy  

Due to the new Red Flag regulations, we are required to implement a plan in our office that will protect our patients from medical identity theft. All patients will have a copy of their photo ID placed in their file with a copy of their insurance card that has their name printed on it. Please bring these cards to your first visit, along with your completed Registration, Intake, and Receipt of Privacy Policy forms.