Lewiston Middle School

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Lewiston Middle School
75 Central Avenue, Lewiston, ME  04240
207-795-4180, ext. 241
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Forms 2012-2013

SBHC Parent Letter - August 22, 2011

Enrollment Form

Consent for Treatment Form

Dental Letter

Dental Enrollment Form

Mental Health Medical History Form

Mental Health Privacy Policy

SBHC Mental  Health Referral Form

SBHC Mental Health Patient Registration Form

Sports Screen Consent Form

Sports Screen History Form

TeenScreen Parent Letter Info with Enrollment Form 

 

LMS SBHC Staff

LMS School-Based Health Center's Staff

The staff are professionals who love working with teens and are committed to providing comprehensive health care services in schools, where teens spend much of their time.

Terri Graybill
Administrative Clinical Assistant
tgraybill@lewistonpublicschools.org

Shelley Hickey, NP
Nurse Practitioner
shickey@lewistonpublicschools.org

Claire Burns, LCPC
Licensed Clinical Professional Counselor
cburns@lewistonpublicschools.org

Carly Mercer, LMSW-CC
Licensed Clinical Social Worker
cmercer@lewistonpublicschools.org

School Based Health

Federally Qualified Health Center

Administrative Office
B-Street Community Center
57 Birch Street, Suite 201
Lewiston, ME 04240
207-513-3898
Fax 207-786-8805


 

Jim Lysen
Executive Director
207-513-3897

Sylvia Normand
Administrative Coordinator
207-513-3898


 

Managers

Stacy Paradis
Practice Manager
207-513-3858

Donna Martinez
Manager of Behavioral Health Programming
207-777-4198

 

© 2014 St. Mary's Regional Medical Center 93 Campus Avenue, Lewiston, Maine 04240 Phone: 207-777-8100