Forms (PDFs)

• Carlin & Shapiro - Client Information Form
  If you have an appointment with us, or wish to make one, this form may be filled out before you arrive.
• List of documentation to provide for MaineCare application
  A list of documents you will need to apply for MaineCare coverage under the long term care program.
• Release for Social Security Administration
  A Social Security Release form that authorizes Social Security to release benefit information.
• Release for the Department of Health and Human Services
  A Department of Health and Human Services Release form that authorizes DHHS to release information on your behalf to Carlin & Shapiro, P.A.
• MaineCare application for long term care
  An application for long term nursing home benefits.
• MaineCare application for community MaineCare
  An application for community MaineCare benefits.
• Health Care Advanced Directive
  A medical directive where you nominate health care agents, and make end of life decisions.