(207) 474-5121 | 46 Fairview Avenue, Skowhegan, ME 04976

Order forms for treatment of COVID-19 and pre-exposure prophylaxis must be completed by a Maine licensed healthcare provider who is authorized to prescribe medications for treatment of infections.

Please note, RFGH will follow the FDA’s emergency use authorizations and the Maine CDC prioritization for distribution of these therapies. Qualifying for treatment under these terms is no guarantee that a supply of the specified drug is available. If we are unable to provide treatment, we will contact your healthcare provider. Otherwise, we will contact the treatment recipient to arrange either infusion or pickup of the prescribed medication as appropriate.

Completed forms should be faxed to 207-858-2242. Completing all sections is important to preventing delays in treatment.