Patient Registration

Online Forms

You may preregister with our office by filling out our secure online Patient Registration Form. If you choose to register online, be sure to complete the online registration at least 24 hours before your appointment.  After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Online Patient Registration Form


Please call us at   Middlebury Office Phone Number 802-388-6344 if you have any questions or to schedule an appointment.