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