(802) 275 4732 | Fax: (802) 275 4738

To help make your first visit at our facility most productive, please do the following:

Please contact our New Patient Coordinator at 802-275-4732 to find out how you can become a patient to the practice. Please be prepared to:

  • Provide us with copies of laboratory results or radiology reports that you have available
  • Create a contact list of your present healthcare practitioners
  • Bring all prescriptions, over the counter medications and supplements that you are taking or have used recently, in their original containers
  • Keep a detailed diary of food intake for 1-3 days

If you’re interested in becoming a new patient, please call the office BEFORE completing any of the new patient forms. When advised, please download and complete the forms below.

Consent for Treatment
Telemedicine Consent Form

Welcome Packet
Adult Health Questionnaire
Pediatric Health Questionnaire
Immunization Consent Form
New Patient Authorization to Release Healthcare Information

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