
For Medical Care Development Employees (click links below):
Print and fill out the application and authorization forms
and return by fax to Phonse at 207-620-8283 or by US mail to:
Medical
Care Development
ATTN: Phonse Allen-Laney
11 Parkwood Drive
Augusta, ME 04330
Any questions, call Phonse at 207-622-7566, ext. 252. ALL
INQUIRIES ARE CONFIDENTIAL.
TDES Application
TDES Authorization Form
TDES Fact Sheet |
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