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Download Forms & Applications

Click the buttons below for forms and applications

Please return the completed forms to the email on the application.
Or you may fax them to 802-244-4005 or mail them to our address below. 
If you have any questions, you can also reach us at 802-244-6850 we’re happy to help.

Referral to BIAVT form
Neuro-Resource Facilitation Program Application
Brain Injury Screening Tool
Trauma Informed Brain Injury Screening Tool
Courtney Buffum Memorial Financial Assistance Program Application

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