New Patients & Forms

"Please try to fill out forms at least 48 hours prior to your visit, as they do take 1-2 days to populate into your chart. Thank you!"

New Patients:

If you are a new patient and would like to establish care with Coastal Women's Healthcare, please call our office at 207-885-8400 to speak with a New Patient Representative. You can also request a new patient appointment by filling out the new patient ticket from the link below. Once you have established a patient account with our practice, please fill out our medical records release form by following the link below. We will send your signed release to your previous doctor's office and obtain your medical records for you. You will hear from a member of our Patient Services Team to schedule your appointment as soon as possible.

Before your first appointment, please take a moment to fill out your new patient paperwork by following the link below. Please be sure to bring your insurance card and co-payment with you at the time of your appointment.

Established Patients:

All patient forms can be found on your secure patient portal account. If you do not have an account set up yet, please take a moment to do so prior to your next appointment. If you do not wish to create a patient portal account please plan to arrive at least 10 minutes early to your appointment to fill out necessary paperwork. If you have an account but are having trouble accessing it, please call 207-885-8400 and speak to a member of our Patient Services Team, they will be happy to assist you.

If you need records sent to a facility from Coastal Women's Healthcare, please complete the release form below and fax it to us at 207-885-8499. We will complete your release as soon as possible.

Servicing Patients From All Across Maine!


Coastal Women's Healthcare wants to improve women's healthcare throughout the state of Maine. We service patients from surrounding cities including, but not limited to:

  • Portland
  • South Portland
  • Yarmouth
  • Cape Elizabeth
  • Cumberland
  • Saco
  • Old Orchard
  • New Gloucester
  • Westbrook
  • Gorham
  • Freeport
  • Windham