We’re looking to collaborate with experienced providers from, but not limited to, the categories listed below.
All Healthcare Professionals
Preliminary Information – Read Carefully:
Completed Online by Applicant:
As you complete the online forms, simple click on the “submit” button on the bottom of each form.
- Volunteer Agreement Form
- Federal Tort Claims Act (FTCA) and Volunteer Health Practicitioner (VHP) Healthcare Professional Volunteer Agreement
- Volunteer Application Form
Additional Documents Needed from Applicant:
These are additional documents needed. Please email them to: Volunteer Supervisor
- Copy of Current Driver’s License or Passport
- Copy of Current Vermont Professional License
- Short Narrative Explaining any Malpractice Claims Against you in the Past 5 years