Provider Authorization and Obligations

Provider Authorization and Obligations

Health care facilities and provider who have already been authorized to access advance directives can access the Vermont Advance Directive Registry by clicking on the button below. 

provider login for registry

Become an Authorized Provider 

Becoming an authorized health care facility or provider allows for quick access to patients' advance directives in the Vermont Advance Directives Registry. 

  1.  Complete the  Advanced Directive Provider Application and Agreement.
  2.  Mail the application and agreement to:
    Vermont Advance Directive Registry
    Vermont Department of Health
    108 Cherry Street, Room 304
    P.O. Box 70
    Burlington, VT 05402-0070
  3. Your application and agreement will be reviewed.
  4. Once approved, the registry will contact you with instructions and registry account number.

authorized providers agree to: 

  • Protect the issued identification number issued. Limit access to the identification number to employees with a need to access the registry.
  • Train 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 Advance Directives Registry when they become aware of changes to an Advance Directive.

Complete and mail or fax the notification form to the Registry:

Vermont Advance Directive Registry
PO Box 2789
Westfield, NJ 07091-2789

Fax: 908-654-1919

Definition of Terms

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.

Support Contact Information 

Email: [email protected]
Phone: (888) 548-9455 (Monday to Friday, 9:00 am - 5:00 pm and Emergency After Hours Support)