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802-371-4100 (MAIN NUMBER)

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Home >  Central Vermont Medical Center Hospital >  Departments & Services >  Patient Support Services >  Patient Forms

Patient Forms

Patient Forms

Advanced Directives
Financial Assistance Application
Free Care Grid
Patient Consent Form
Patient Rights
Rehabilitation Services - Patient Intake Form
Rehabilitation Services - Daily Activity Form
Rehabilitation Services - Mobility Form

Hospital Reports

Annual Report 2010 (New! Published August 2011)
Annual Report 2009
Annual Report 2008
Nursing Annual Report 2009
Centerpost Newsletter - Spring/Summer 2011
Centerpost Newsletter - Winter 2011
Centerpost Newsletter - Fall 2010
Centerpost Newsletter - Spring/Summer 2010
Centerpost Newsletter - Winter 2010
Hospital Complaint Report - 2011
Hospital Governance Report - 2011
Hospital Quality Report - 2011
Hospital Strategic Plan - 2011

Community

Auxiliary Membership Form
Scholarship Application (Auxiliary)
Volunteer Handbook

Wellness

Healthy Community Offerings - Winter 2012
Flu Decision Chart
Seasonal Flu Checklist
Hepatitis B Vaccine

Central Vermont Medical Center
130 Fisher Road, Berlin, Vermont 05602
Telephone: (802) 371-4100

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