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Level of Care Variance Request Form with Instruction

Friday, September 13, 2024 - 12:00

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Level_of_Care_Variance_Request_Form_with_Instructions-(March_2019).pdf (486.9 KB)

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Division of Licensing and Protection
HC 2 South, 280 State Drive
Waterbury, VT 05671-2060
(802) 241-0344

For Telecommunications Relay Service: Dial 711

Adult Protective Services Reporting Line
(800) 564-1612

Healthcare Organization Complaint Reporting Line
(888) 700-5330

Joe Nusbaum
Division Director

John Gordon
Adult Protective Services Director

Pamela Cota
Survey and Certification Director

This is a Division of the
Department of Disabilities, Aging and Independent Living
under the Agency of Human Services

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