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Vreeland Clinic

Applying Science and Nature to Achieve your Optimal Health


The Vreeland Clinic's Location:
331 Olcott Drive, U1 • White River Junction, VT 05001

We are located at the end of Olcott Drive in the upper level of the
Olcott Professional Building. We are the first unit on the left hand side.

New Patient Forms

To better understand your current health condition and dietary situation, we ask you to fill out these forms and return them on your first appointment.

Download the forms

Download the following forms as PDF files, print them out and fill them in by hand and bring them to your first appointment. Click each of the links below to download the following New Patient forms:

New Patient Intake Form

3-Day Food Diary

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Fill out forms online

For this option, click on the links below to access the online New Patient forms. Fill it in and hit the Submit button when finished.

New Patient Intake Form

3-Day Food Diary