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Susan R. Tucker, MD

Susan R. Tucker, MD

Psychiatry

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New Patient Documents

Please print out and complete these  forms and bring them to your first appointment

Patient Information

Medical History

Mood Disorder Questionnaire

Health Information Disclosure 2021

Authorization and Consent 

Telephone Consent

Release-of-Information

Find Us

Address
221 Route 5 South, Norwich, Vermont 05055

Mailing address:: PO Box 252 Norwich, Vermont 05055

Contact

For appointments and billing questions please call Eileen at 802-369-9378.

For medical questions leave a voice mail message at 603-359-8202.
In an emergency call 911.

Please scan documents to srtuckermd3@gmail.com

HIPA Notice is available at this link

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