Registration Packet

The following forms MUST be completed in order to be registered for Weekend IDRP. The PDF can be downloaded and printed by clicking HERE.

  • Clara Martin Intake Questionnaire
  • Physical Examination Form
  • Release of Confidential Information

For confidentiality purposes, please MAIL the forms to:

Clara Martin Center
Weekend IDRP
PO Box 816
Wilder, VT 05088