Medical File Upload

Do you already have an appointment booked?

Just complete the secure form below to upload your medical records.

Do you need to book an appointment?

Please go to the Referral Form.

Do you need a medical file review or permanent impairment reviews, but not an appointment?

Please email us or complete our Referral Form.

Please note that all records are to be sent electronically. If you need further assistance, please contact the office at (207) 879-0404 or by email at pthorne@fortunesrocksmd.com.


  • Part 1 of 2

    Client Information
  • Date Format: MM slash DD slash YYYY
  • Part 2 of 2

  • Drop files here or
    Accepted file types: pdf, doc, jpg.
    File upload limit is 20MB. Limit 3 files.