Contact

Please, submit only the one specific form that applies to you.

Inquiry Form for Patients, Families & Friends: (see contact form fields below)

Phone requests are reserved for those who are unable to use the Internet.

Please send only one request. Multiple calls or emails will not be answered more quickly.

Finding a Doctor: The most common question we receive from non-residents is, "how do I find a Vermont doctor?" Please see this page before you call us.

Out-of-State Residents: Please see our page For Non-Residents and carefully evaluate your own situation.

If you still have questions, the PCV team is here to provide further explanation. Please allow 2-3 business days for a response. Inquiries received after noon on Fridays will be answered early the following week.

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* Indicates required field

Please identify yourself: *

Your Name *

First

Last

Your Email *

Your Phone Number *

Patient Name (if different from above) *

First

Last

Patient State of Residence *

Patient City or Town *

Patient Email (if different from above) *

Patient Phone Number (if different from above) *

Please describe how we can help. Be as specific as you can with your questions. *

PCV’s email newsletters provide important updates. We look forward to including you, or you may opt out below. *

Check here to opt out of email newsletters.

Submit

Printed Guide Requests: If you would like copies of the Pocket Guide to Medical Decision-Making or PCV’s Vermonter’s Guide to End-of-Life Decision-Making be sure to include quantities of each guide requested and your postal address in the Comment field in the Contact Form above.

Inquiry Form for Medical Providers: If you are a doctor, nurse, hospice, or other type of medical provider, please use the form below to contact us. This form is for medical providers who are caring for patients. If you are a patient, please use the contact form on the left.

* Indicates required field

Your Name *

First

Last

Please Select One *

Name of Medical Institution or Office *

State *

Your Email *

Your Phone Number (Please provide your cell #) *

Please describe how we can help, and let us know how urgent your call is. *

PCV’s email newsletters provide important updates. We look forward to including you, or you may opt out below. *

Check here to opt out of email newsletters.

Submit

Inquiry Form for Press, Education, Administrative, or Volunteers:

PCV is an independent 501(c)(3) organization, not supported by any government agency.
While our services are free, our small staff and dedicated team of volunteers counts on individual donations to cover our month-to-month operations. Please, consider supporting the PCV team by making a donation.

Patient Choices Vermont
P.O. Box 671
Shelburne, VT 05482
802-448-0542

Inquiry Form for Patients, Families & Friends: (see contact form fields below) Phone requests are reserved for those who are unable to use the Internet.Please send only one request. Multiple calls or emails will not be answered more quickly. ​​

PCV is an independent 501(c)(3) organization, not supported by any government agency. While our services are free, our small staff and dedicated team of volunteers counts on individual donations to cover our month-to-month operations. Please, consider supporting the PCV team by making a donation.

Inquiry Form for Patients, Families & Friends: (see contact form fields below)

Phone requests are reserved for those who are unable to use the Internet.

Please send only one request. Multiple calls or emails will not be answered more quickly.

PCV is an independent 501(c)(3) organization, not supported by any government agency.
While our services are free, our small staff and dedicated team of volunteers counts on individual donations to cover our month-to-month operations. Please, consider supporting the PCV team by making a donation.