Our patients have the right and responsibility to make educated decisions about your health care.

Bill of Rights

Please fill out this form if you need to request medical records from us.

Authorization for Release

We are committed to ensuring that all Vermonters have access to quality health care, regardless of their ability to pay. We accordingly offers to qualifying individuals free and discounted care in connection with medically necessary procedures performed at the Center. Eligibility for free or discounted care will be determined based upon the patient’s demonstrated financial need and without regard to the patient’s race, religion, sex, age, gender identity, sexual orientation or national origin.


An Advance Directive is a type of written or oral instruction which explains what health care is to be provided should you become unable to make your wishes known. It is the policy of Green Mountain Surgery Center to accept Advance Directives. However, based on organization conscience, we will not honor a Do Not Resuscitate (DNR) order. Should there be a medical emergency, appropriate medical care, including resuscitation, will be provided and you will be transferred to an acute care facility. If we have received a copy of your Advance Directive, a copy will accompany you to the receiving facility.  More information on Advanced Care Planning can be found here.


This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.


Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

Good Faith Estimate

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