Patient Forms

CLICK A LINK TO DOWNLOAD THE FORM

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Patient History Form

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Record Release/ Request Form

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New Patient Handout

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Permission to Verbally Discuss Protected Health Information with Family and Friends

To access our patient payment portal please click here.

Contact

Contact Us Today

Phone, Email & Fax

Phone: (802) 327-7079

Fax: (802) 866-1394

[email protected]

Open Hours

By appointment only

 

ADDRESS

Williston  Office

Finney Crossing

31 Market St.
Williston, VT 05495