Patient Forms

Release of Records Forms:

Request medical records be sent TO The Health Center
Request medical records FROM The Health Center
Request dental records be sent TO The Health Center
Request dental records from The Health Center

Apply for Financial Assistance:

Sliding-Fee Scale Discount Program Application

Dental Sedation

Pre-Sedation Instructions

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157 Towne Ave., Plainfield, VT 05667

(802) 454-8336

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