Online Forms
*Note:
Our forms are not encrypted and, although very unlikely, could be intercepted
and read by an outside party. But if you need to keep your information 100% secure
and private, please do not use them.
Please see our Notice
on Privacy
Home
Health
Information Form
This is a 4-page form for your medical information that is kept on your chart and is
updated periodically. Please print it, fill
it out at home and bring in for your first appointment, or at any time you haven't
been seen for a year or more.
Patient
Registration Form
(New or Update) This is a 2 page form for your insurance information etc; please print
it, fill it out and bring in for your appointment, mail it to us, or fax it to
us ahead of time (802-258-4903). It would really speed up the registration process.
Renew Your Medication(s) We try to respond to your requests within two working days; if your request is urgent please call the office directly
.
We follow federal and state regulations to protect your privacy. Please read our privacy notice.
