Maine Responds

Welcome to the MAINE RESPONDS Emergency Health Volunteer System.

MAINE RESPONDS is a partnership managed by the Maine Center for Disease Control and Prevention that integrates local, regional, and statewide volunteer resources to assist our public health and healthcare systems.  It is part of a national initiative to train, coordinate, and mobilize volunteers during an emergency.  MAINE RESPONDS coordinates verified, pre-credentialed healthcare and emergency response personnel into a single database that can coordinate the need for volunteers across county, regional, and state lines if needed.

Registering as a MAINE RESPONDS volunteer will help ensure that people affected by a disaster will receive the public health and medical care they need.  Enrollment in the database (form below) is the first step in meeting this urgent need within Maine and the nation.

For more information, please contact:
MAINE RESPONDS Emergency Health Volunteer System
Amanda Walker, MPPM – Project Manager

Telephone: 207-662-5142     Fax: 207-662-5139

Seasonal and H1N1 Influenza Factsheet
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www.maineresponds.org



First Name:
Last Name:
Profession:
Maine Professional License #
(Primary)
Organization/Agency:
Mailing Address:
City/Town:
State
Zipcode:
Email Address:
Home Phone #
Work Phone #
Mobile Phone #