Vermont Department of Health Forms

This document is used for obtaining information related to the treatment of project crashes in the state of Vermont.

This Form is used for ordering blood lead testing supplies for medical providers in Vermont.

This Form is used for requesting additional clinical testing in Vermont.

This Form is used for requesting patient results or making corrections to patient records in the state of Vermont.

This Form is used for requesting a rabies examination in the state of Vermont.

This type of document, the Vermont Record of Divorce or Annulment, is used for officially recording divorces or annulments that take place in the state of Vermont. It serves as a legal record of the termination of a marriage.

This document is used to request a certified copy of a marriage, divorce, or civil union dissolution certificate in the state of Vermont.

This document is used for recording and tracking time spent on different activities or projects in Vermont. It helps individuals or organizations manage their time effectively.

This form is used for logging the calibration of thermometers in Vermont.

This document is a log form used in Vermont for monitoring the high temperature sanitizer during the operation of a dishwashing machine.

This document is used for keeping track of the dishwashing machine sanitizer chemicals used in Vermont.

This form is used for ordering blood lead testing supplies for medical providers in Vermont.

This document is used for applying for a license to operate a temporary food service establishment in the state of Vermont.

This Form is used for ordering water and radon tests in Vermont.

This form is used to apply for a license to operate a food and lodging establishment in the state of Vermont.

This Form is used in Vermont to apply for a license to operate a food and lodging establishment.

This document certifies that an individual or entity is exempt from licensing requirements in the state of Vermont. It may be used for various purposes, such as proving exemption from certain professional or business licenses.

This form is used for logging the hourly temperature of vaccines stored off-site in Vermont.

This form is used for reporting cases of latent tuberculosis infection (LTBI) in the state of Vermont.

This Form is used for ordering fluoride in well water for families with children under the age of 4 in Vermont.

This Form is used for requesting environmental or food tests in the state of Vermont.

This form is used for consenting to receive the COVID-19 vaccine in Vermont. The form is available in Bosnian language.

Este formulario es utilizado para obtener el consentimiento necesario antes de administrar la vacuna contra el Covid-19 en el estado de Vermont.

This Form is used for ordering water and radon tests in the state of Vermont.

This form is used for providing informed consent for receiving the Covid-19 vaccination in Vermont. It includes important information about the vaccine and allows individuals to make an informed decision about receiving the immunization.

This form is used for recording the dissolution or annulment of a civil union in Vermont.

This form is used for self-certifying that you qualify for a licensing exemption in the state of Vermont.

This form is used for requesting a urine drug test in the state of Vermont. It is specifically designed to document and request a urine sample for the purpose of screening for the presence of drugs.

This form is used for providing treatment information in the Impaired Driver Rehabilitation Program in Vermont.