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Get the free Vermont Department of HealthVermont Department of HealthVermont Department of Health

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Division of Licensing and Protection HC 2 South, 280 State Drive Waterbury, VT 056712060 http://www.dail.vermont.gov Survey and Certification Voice/TTY (802) 2410480 Survey and Certification Fax (802)
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Anyone who requires services or information from the Vermont Department of Health may need to fill out the Vermont Department of Health form. This can include individuals seeking healthcare services, applying for health insurance programs, reporting health incidents or concerns, or participating in health-related research or surveys. The specific requirements for needing this form may vary depending on the purpose and nature of the interaction with the Vermont Department of Health.

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