Forms

Below are some of our most requested forms.  Questions about which forms you need? Please call our office and our front desk staff will assist you.

Completed forms may be brought to the office, mailed, faxed, or sent via patient portal.

Please allow 3 business days for completion of all school, camp and sports forms.  Forms may be expedited to be completed in 24 hours for a fee of $10 for each school or camp form and $25 for each college form.

Our Locations


Timber Lane Pediatrics South Burlington

51 Timber Lane
South Burlington, VT 05403

Phone: (802) 864-0521
Fax: (802) 735-9621

Office Hours by Appointment
Monday - Friday 8:30 AM - 5:00 PM
Saturday and Sunday 8:30 AM - 12:00 PM*

Due to Covid 19, we have suspended walk-in hours.

Timber Lane Pediatrics Burlington

Office location:
1127 North Avenue, Suite 1
Burlington, VT 05408

Mailing address:
PO Box 3057
Burlington, VT 05408

Phone: (802) 846-8100
Fax: (802) 735-9337

Office Hours by Appointment
Monday - Friday 8:30 AM - 5:00 PM
Closed Saturday and Sunday

Due to Covid 19, we have suspended walk-in hours.

Timber Lane Pediatrics Milton 

11 Haydenberry Drive, Suite 103
Milton, VT 05468

Phone: (802) 893-1200
Fax: (802) 735-9608

Office Hours by Appointment
Monday - Friday 8:30 AM - 5:00 PM
Closed Saturday and Sunday

Due to Covid 19, we have suspended walk-in hours.