All Forms are available as .pdf or .docx formats
Cancellation notice (pdf)
DownloadCancellation notice (docx)
DownloadRelease of Info H.A.L.O. (2) (pdf)
DownloadRelease of Info H.A.L.O. (2) (docx)
DownloadInformed Consent (pdf)
DownloadInformed Consent (docx)
DownloadHealth Questionnaire H.A.L.O. (pdf)
DownloadHealth Questionnaire H.A.L.O. (docx)
DownloadHALO TELEHEALTH (pdf)
DownloadHALO TELEHEALTH (docx)
DownloadHALO 20 HIPPA acknowledgement (pdf)
DownloadHALO 20 HIPPA acknowledgement (docx)
DownloadHALO - ALL FORMS (pdf)
DownloadHALO - ALL FORMS (docx)
DownloadHALO Professional Referral (docx) (docx)
DownloadFormula and Breastfeeding Resources (pdf)
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Remembering community members who died in 2024, whose lives were shortened by homelessness.
5.30pm - 6.45pm Friday, December 20th Gather at the WRJ LISTEN Parking Lot, 42 Maple St, WRJ, VT 05001
Traditional vigil followed by an optional procession across Lyman Bridge to New Hampshire. All are welcome