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Our mission is to provide respectful, comprehensive primary health care for all residents in our region, regardless of their ability to pay. We offer quality health care services to everyone. In the spirit of community, we make efforts to reach out and welcome those who need health services, but may have insufficient means to access them. We commit ourselves to continually reduce the burden of illness, injury, and disability, and to improve the health and quality of life of those for whom we care.

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Little Rivers Health Care
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  • Services
  • About
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    • Capital Campaign
  • Contact
    • Guide to Healthcare Providers
    • Wells River
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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

Feedback Form

We would love to hear your thoughts, concerns or problems with anything so we can improve!

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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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LRHC 2023 Community Health Needs Assessment (CHNA)
LRHC 2022 Annual Report LRHC 2021 Annual Report LRHC 2020 Annual Report LRHC 2019 Annual Report LRHC 2018 Annual Report LRHC 2017 Annual Report LRHC 2016 Annual Report

If you are experiencing a life-threatening emergency, call 911 or go to the nearest emergency department.


For after-hours medical concerns, call any clinic number to speak with a healthcare professional for medical advice & information. 


For Assistance After Hours, CLICK HERE from your cell phone

Need Help After Hours?

  • Home
  • For Patients
    • Notice of Privacy Practices
    • Patient Portal
    • New Patients
      • Adult Patient Registration
      • Pediatric Patient Registration
    • Sliding Fee Scale
      • Sliding Fee Scale
      • Sliding Fee Scale FAQ
      • Sliding Fee Scale Application
    • Programs and Workshops
    • No Barriers to Care
    • What is a Televisit?
      • Preparing for a Televisit
    • Forms
    • Upcoming Classes and Events
    • Established Patients
      • Annual Adult Patient Packet
      • Annual Child Patient Packet
  • Services
  • About
    • Annual Meeting
    • Blog
    • Careers
    • Donate
  • Contact
  • Capital Campaign
  • Our Providers
    • Wells River
    • Bradford
    • East Corinth
    • Newbury
    • Guide to Healthcare Providers

Privacy Policy

Business Locations

All Locations
LIST MAP
Find nearest location
  • Bradford Office: 437 S Main St, Bradford, VT, 05033, United States
  • Wells River Office: 65 Main St N, Wells River, VT, 05081, United States
  • East Corinth Office: 720 Village Rd, East Corinth, VT, 05040, United States
  • Newbury Office 4628 Main St N, Newbury, VT, 05051, United States
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