Primary & Chronic Care ServicesAt Coastal Maine Direct Care, we provide ongoing care for your everyday health needs—whether you're managing a long-term condition or just need a check-up. Our goal is to keep you feeling your best with personalized, supportive care.ProvidersKaren Saylor, MD Emily Harrington, FNP-C Stephen Saylor, PA-C Our Services Include:Chronic Disease Management We help you manage conditions like diabetes, high blood pressure, heart disease, and asthma through regular check-ins, medication management, lifestyle support, and goal tracking.Annual Physicals A yearly full-body check-up to monitor your overall health, catch issues early, and keep your health records up to date.Wellness Visits Focused on prevention and lifestyle, these visits review your current health, set wellness goals, and discuss ways to stay healthy and active.Preventive Care Includes screenings, vaccines, and health education to help prevent illness before it starts.Wound Care Expert care for minor to complex wounds to support faster healing and reduce the risk of infection.Minor Surgical Procedures In-office treatments such as mole or skin tag removal, abscess drainage, and other small procedures that don’t require a hospital visit.Acute Care / Sick Visits Same-day or next-day appointments for sudden illnesses like colds, infections, or minor injuries—so you can feel better, faster.

Pediatric Care ServicesAt Coastal Maine Direct Care, we’re dedicated to helping children grow up healthy and strong. From birth through adolescence, our pediatric team provides compassionate, expert care in a welcoming environment that puts kids—and parents—at ease.ProvidersStephen Saylor, PA-C Our Services Include:Well-Child Visits Regular check-ups to track growth, development, and overall health, with time for questions and guidance at every stage.Vaccinations & Immunizations Safe, up-to-date vaccines to protect your child from preventable diseases, based on the latest medical guidelines.Sick Visits & Acute Care Same-day care for colds, fevers, ear infections, rashes, or any sudden illness—so your child feels better, faster.Chronic Condition Management Ongoing support for asthma, allergies, ADHD, and other long-term conditions, tailored to your child’s needs.Developmental Screenings Early checks for speech, behavior, motor skills, and social development to catch concerns early and provide support.School, Sports & Camp Physicals Quick, convenient exams with any required forms completed—so your child is ready to play and participate.Parental Guidance & Support We’re here to answer your questions about sleep, nutrition, behavior, safety, and everything in between.

We specialize in caring for older adults with compassion and expertise. Our geriatric care team works with you and your loved ones to support healthy aging, independence, and comfort at every stage.ProvidersKaren Saylor, MD Emily Harrington, FNP-C Stephen Saylor, PA-C Our Services Include:Comprehensive Geriatric Assessment A full check-up that looks at your physical health, memory, mobility, emotional well-being, and daily needs—so we can create a care plan that fits your life.Medication Review & Deprescribing We review all your medications to ensure they’re still helpful and safe—removing any that may no longer be needed or may cause side effects.Capacity Evaluations If there are concerns about decision-making, we can assess your ability to make choices about your health, finances, or living situation.Advance Care Planning We help you make clear, informed decisions about the kind of medical care you’d want in the future, including your wishes for end-of-life care.Palliative Care For those living with serious illness, we focus on comfort, symptom relief, and emotional support—helping you live as well as possible.Dementia Care Whether you’re newly diagnosed or further along, we offer support, treatment, and resources for patients and families facing Alzheimer’s or other forms of memory loss.

Geriatric Mental Health & Cognitive AssessmentCognitive and emotional health are just as important as physical health as we age. At Coastal Maine Direct Care, we offer in-office cognitive screening with a licensed clinical psychologist specializing in cognitive aging.ProviderTom Meuser, PhDOur Services Include:Cognitive-Functional-Behavioral Screening A one-time, in-office evaluation for concerns about memory, thinking, mood, or daily function. Includes a review of records, screening surveys completed in advance, an in-person testing session, and a typed report shared with your provider to guide next steps in your care.

Sports Medicine ServicesWhether you're a competitive athlete or just staying active, our Sports Medicine team is here to keep you moving. We specialize in preventing, diagnosing, and treating injuries related to physical activity—so you can recover faster and perform your best.ProvidersStephen Saylor, PA-C Our Services Include:Injury Evaluation & Treatment Expert diagnosis and care for sprains, strains, joint pain, fractures, and other sports- or activity-related injuries.Rehabilitation & Physical Therapy Personalized recovery plans to rebuild strength, flexibility, and function after injury or surgery.Joint & Muscle Injections Non-surgical treatments, such as cortisone or PRP (platelet-rich plasma) injections, to reduce inflammation and pain.Concussion Management Safe, evidence-based care to assess and treat concussions, with step-by-step return-to-play guidance.Performance Optimization Fitness evaluations and training plans to help improve strength, endurance, and flexibility—while reducing the risk of injury.Injury Prevention Programs Customized advice on warm-ups, stretching, and conditioning to help you stay healthy and active long-term.Care for All Ages & Activity Levels Whether you're a student-athlete, weekend warrior, or active senior, we tailor care to your goals and lifestyle.