Organization Information Form
The Vermont Attorney General's Office is compiling information on our website about Vermont's response to the opioid epidemic. If your organization or program serves Vermonters affected by this epidemic, in any capacity, we want to hear from you! Complete the form below to add your organization or program's information to our website.
Note that if any of this information changes in the future, you are able to make changes.
Organization or Program Name
Category of Service (select all that apply)
Opioid Treatment Program (OTP)
VT Dept. of Corrections Partnership
Syringe Exchange Program
Naloxone Distribution Site
HIV and Hepatitis C Testing Site
Description of services
Organization or Program Phone Number
A copy of your responses will be emailed to the address you provided.
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