(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.

Patient Packet 1
Patient Packet 2
Consent for Treatment Form
Telemedicine Consent Form

Patient Authorization to Release Healthcare Information Form
Pediatric Health Questionnaire
HIPAA Omnibus Notice of Privacy Practices

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