New Patient Information

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Sally greets all patients at the front desk with a smile. She has been with SVHC for over 15 years.

Thank you for selecting Sacopee Valley Health Center.

We look forward to providing you with high quality patient-centered health care.

New Patient Information

Welcome to Sacopee Valley Health Center. Our mission is to provide high-quality, patient-centered primary and preventative healthcare services, and to promote optimum health for the community.

We ask all new patients to complete the three forms listed below:

New Patient Registration Form

Male & Female History Form

Record Release – Authorization Form

You may mail, fax or drop these off at the front desk.

We need these completed forms before we can schedule your first appointment.

Mail to:

Sacopee Valley Health Center

Attention: Medical Records

70 Main Street, Porter, ME 04068

Fax to:


Please bring your insurance card(s) with you when you come for your appointment. Your co-pay as payment is expected at the time of service. We will bill most private insurances and accept New Hampshire Medicaid, New Hampshire Kids Gold, MaineCare and Medicare.

Federal assistance helps Sacopee Valley Health Center to provide medical and other services that would not otherwise be available or affordable to area residents. We have a sliding fee scale based on federal guidelines which use family income and family size to figure the amount of the discount. See below for more information on our Fee Discount Program.

Please be on time for your appointment.

If you are not able to keep an appointment, please contact the office at 207-625-8126 to reschedule.

Fee Discount Program Information

What is the Fee Discount Program?

The Health Center provides discounts on services to patients who are eligible for our Fee Discount Program. The fee discount can help you pay for costs not covered by your insurance.

What are the Income Guidelines?

Income guidelines are based on yearly gross income and family size. Guidelines are updated every year around February.

How do I apply?

Complete the Fee Discount Program application.

Fee Discount Application

All information you provide us in your application is kept completely confidential.

The following must be attached:

– Proof of current family income (paycheck stubs, copies of unemployment checks, Social Security award letters, child support, etc.)

– If you are zero income, you will need to provide a letter of support from the person that is supporting you or a self written statement of how you meet your basic needs.

– If you are self-employed, please complete the self-employment sheet (three months profit/loss).

Self-Employment Form

If there are special issues you would like us to consider when we review your application, please write them on a separate piece of paper.

Return your completed application form with attachments to the health center, either in person or by mailing to:

Outreach & Enrollment
Sacopee Valley Health Center
70 Main Street, Porter, ME 04068

You can also fax paperwork to:

Attention: Outreach & Enrollment (207) 625-7820

What Services are Covered?

Most Health Center services are covered, including medical, counseling, optometry and dental appointments. These are discounted at the same fee depending where you fall on the income guidelines. You will receive a letter explaining the fee amounts for which you qualify.

Other Benefits of our Fee Discount Program:

– Enrollment in the SunRx prescription discount program.

– Discounts on some services provided through MaineHealth hospital free care program.

– Discounts on NorDx Lab Services provided at the Health Center.

Once you are enrolled, you will receive more specific information about these benefits.

When can I apply?

You can apply for the Fee Discount Program at any time. Once you qualify, your enrollment generally lasts for one year. Please submit a new application before your expiration date to avoid a gap in fee discount coverage.

For more information call:

Outreach & Enrollment Specialist

 (207) 625-2239