Tree Of Life Medicine

The office of Dr. Gabriel Archdeacon

Intake Forms and other helpful downloads

Adult Intake Form (18+)

Pediatric Intake Form

Pediatric Supplemental Intake (Ages 12-17)

Request for Records from Previous Provider (pdf)

Download

2023-2024 Child Care & k-12 Immunization Religious Exemption form (pdf)

Download

College Immunization Religious Exemption form (VT schools only) (pdf)

Download

For Established Patients

If you are calling with an urgent matter after hours please call our office line and listen to the voice message greeting. It will guide you to Doctor Gabriel's on call information.