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