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VERMONT DEPARTMENT OF HEALTH BOARD OF MEDICAL PRACTICE 108 Cherry Street, PO Box 70 Burlington, VT 054020070 (802) 6574220 COMPLAINT FORM Please Print Your information: Last name First Name Street
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To fill out the Vermont Department of Health form, follow these steps:
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Start by downloading the form from the official Vermont Department of Health website.
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Read the instructions provided on the form to understand the information required.
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If required, sign the form using a digital signature or print it out and sign manually.
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Submit the filled-out form to the designated Vermont Department of Health office or follow the submission instructions provided.

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