Early and Periodic Screening, Diagnosis and Treatment Program
For Providers
Under 21
Dental MaineCare Education Request Form (Microsoft Word
)(*free viewer)
Medical MaineCare Education Request Form (Microsoft Word
)(*free viewer)
Over 21
Dental MaineCare Education Request Form (Microsoft Word)(*free viewer)
Medical MaineCare Education Request Form (Microsoft Word
)(*free viewer)
For information please contact:
Debbie M. Wadleigh
Tel:(207) 287-6730
TTY: Maine relay 711
Fax:(207) 287-5355
Email:debbie.m.wadleigh@maine.gov
