How to File a Complaint

To file a complaint, please print and complete a referral AND a release form. Provide as much information as possible. Mail the completed forms with

documentation (bills, hospital paperwork, summary of benefits, or any correspondence with the provider) to:

Anita Hoy, VT SMP Director
Community of Vermont Elders
PO Box 1276
Montpelier, VT 05601

1)Referral Form

2)Release Form

Forms will open on a new page, close that page after printing form.

Type and press Enter to search