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    For After Hours Care Dial (802) 757-2325


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    Experiencing An Emergency? Dial 911.

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    Click Here to View Opening Hours at All Locations

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  • PATIENTS
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      • Sliding Fee Scale
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AFTER HOURS CARE | 802-757-2325
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Forms

Printable Forms

New Patient Forms
New Patient Packet: Adult
New Patient Packet: Children
New Patient Packet: Adult
New Patient Packet: Children

Established Patient Forms

Patient Registration Form
Information Release Form
Adult Registration Form
Information Release Form
Pediatric Registration Form
New Patient Release of Information
Financial Assistance Forms
Information Release Form
Financial Assist. General Info
Financial Assist. Application Family Size / Income Chart Sliding Fee Scale Application
Information Release Form
Financial Assist. General Info
Financial Assist. Application
Family Size / Income Chart
Financial Assist. General Info
Financial Assist. Application
Family Size / Income Chart
Sliding Fee Scale Application
Sliding Fee Scale Application
Employment Application
Employment Application
Employment Application

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If you have a concern regarding compliance, we also have a confidential compliance hotline at 802-222-3000, extension 108.
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Need Help After Hours?

Our staff is on call 24/7

Call After Hours│ 802-757-2325

Are you experiencing a life-threatening emergency?

Dial 911

Or go to the nearest emergency department.

Menu:

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Clinic Hours:

  • Wells River

    • Monday - 7:30am-5pm
    • Tuesday - 6:30am-5pm
    • Wednesday - 6:30am-5pm
    • Thursday - 6:30am-6pm
    • Friday - 7am-5pm
  • Bradford

    • Monday - 7am-6pm 
    • Tuesday- 7am-6pm 
    • Wednesday- 7am-6pm 
    • Thursday- 7am-5pm
    • Friday- 7am-5pm 
    • Saturday- 9am-12pm
  • East Corinth

    • Monday- 8am-6pm
    • Tuesday- 8am-6pm
    • Wednesday- 6:30am-5pm
    • Thursday- 8am-5pm
    • Friday- 8am-5pm
  • Newbury

    • Monday- 7:30am-5:30pm
    • Tuesday- 7:30am-5:30pm
    • Wednesday- 7:30am-5:30pm
    • Thursday- 7:30am-5:30pm
    • Friday- 7:30am-4pm
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HRSA addressing social risk factors 2024 awardee
HRSA 2024 awardee access enhancer logo
HRSA advancing HIT for quality 2024 awardee logo
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NCQA Recognized Practice logo
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