Avery Wood MD - Family Medicine - John Hearst MD
  • COVID-19
  • Welcome
  • Dr John Hearst
  • Our Practice
  • Making an Appointment
  • Adult Wellness Visits
  • Medical Information and Tools on the Internet
  • Community Resources
  • Frequently Asked Questions
  • Forms
  • Green Mountain Mask Makers
Pre-visit forms for wellness visits:
Annual Wellness for Women
Annual Wellness for Men

Well Child Visits:
New born
1 month
2 months
4 months
6 months
9 months


1 year
18 months
2 years
2 1/2 years
3 years to 12 years
Teenagers and young adult

Pre- visit form for all other visits
Visit Planner
Other forms:
Blood Pressure Goal and Tracking Form
Waiting list for Dr Hearst

Materials for annual pain management visits (Coming soon)

Notices:
Privacy Notice
Community Health Team Policy

New Patients:
Please complete all three of these documents:
Registration Form
Acknowledgement of Policies
Record Release

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