Provider Authorization and Obligations
- Vermont Advance Directive Registry
- Definitions
- How to Become an Authorized Provider
- Notification of Changes
- Technical Support
- How To Access the Registry
- Provider Obligations
- Forms
- Registry Policies and Procedures (pdf)
- Fact Sheet on Advance Directives (pdf)
- Frequently Asked Questions - Vermont Medical Society (pdf)
Definitions
An advance directive is a legal document that conveys a person's wishes regarding their health care treatment and end of life choices, should they become incapacitated or otherwise unable to make those decisions. The document may include an appointment of an agent, identification of a preferred primary care physician, healthcare wishes, anatomical gifts, disposition of remains, terminal care document or similar documents.
The term provider is used by the registry to include health care providers, health care facilities, residential care facilities, probate court officials, procurement organizations, funeral directors, crematory operations and cemetary officials.
An authorized provider is an individual or organization that has been approved by the Department of Health for unlimited secure access to the registry.
A registrant is an individual who has submitted an advance directive or an Advance Directive Locator form to the Registry, and received written confirmation that the advance directive is registered.
Vermont Advance Directive Registry (Registry) is a secure, web-based database to which individuals may submit, at no charge, an advance directive or an Advance Directive Locator form and other documents which amend, suspend or revoke an advance directive. The documents are electronically stored and may be accessed by providers through the Internet or by telephone.
How to Become an Authorized Provider
Complete and submit the Provider Access Agreement and Provider Access Application form to the Vermont Department of Health at:
- Vermont Advance Directive Registry
Vermont Department of Health
108 Cherry Street, Room 304
P.O. Box 70
Burlington, VT 05402-0070
Vermont Department of Health will review and approve applications. Once approved, the Registry will contact the provider with instructions and registry account number.
Providers issued a registry user account shall
- Protect the identification number issued to the provider and limit access to the identification number to their employees with a need to access the registry.
- Train their employees on the proper use of the registry and the registrants’ documents, and the obligation to report any unauthorized access or misuse of information to the Vermont Department of Health.
- Inform the registry as soon as possible, in writing, of any change or proposed change to the information contained in the original Provider Access Application form submitted to the registry.
Notification of Changes
Providers are obligated to notify the registry when they become aware of changes to an advance directive.
To notify the registry, a provider shall complete a Provider Notification Form and submit it to the registry by:
Mail or FAX
- Vermont Advance Directive Registry (VADR)
523 Westfield, Ave., PO Box 2789
Westfield NJ 07091-2789
- Fax - (908) 654-1919
Technical Support
Routine help and questions are addressed by sending an e-mail message to the registry at support@uslivingwillregistry.com.
Business hours telephone support is available Monday to Friday, 9:00 am to 5:00 pm EST, by calling (908) 325-2525.
Emergency support during non-business hours is available by calling (888) 548-9455.