Locations
Middlebury
1330 Exchange Street
phone: 802-388-6565
fax: 802-388-3291
Mon-Fri 8am-5pm
Rutland
71 Allen Street
phone: 802-775-8021
fax: 802-775-5188
Mon-Fri 8am-5pm
Ticonderoga
102 Racetrack Road
phone: 518-585-6000
fax: 518-585-2154
Mon-Fri 8am-5pm
Patient Intake Forms
To save time when visiting our locations please download, print, and fill out these forms below.
Intake Form*
Medical History Form*
Privacy Waiver*
Managed Care Waiver*
*Acrobat Reader is required to view and print thess files.
You can get it here:
