Roman Catholic Diocese of Burlington
ROMAN CATHOLIC
DIOCESE OF BURLINGTON
55 Joy Drive, South Burlington, VT 05403     802-658-6110
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Contact Information

DIRECTOR OF EVANGELIZATION & CATECHESIS and MARRIAGE & FAMILY
Deacon Phil Lawson 
(802) 658-6110 Ext. 1453
E-mail

 

ADMINISTRATIVE ASSISTANT
Lori Daudelin
802-658-6110, ext. 1131
E-mail

 

RESPECT LIFE COORDINATOR
Carrie Handy
802-658-6110, ext. 1176
E-mail

Vermont Catholic Advance Directives

Register Your Directive


NOTE: A REGISTRATION AGREEMENT FORM must be submitted with the ADVANCE DIRECTIVE or LOCATOR FORM to the registry.

  • If you already have an advance directive or living will, it can be registered as well, but you still need to fill out the Registration Agreement form and mail the forms to the address below.

If you do not have an advance directive, complete the following steps:

1.Download the forms

Fill out both forms and sign the Registration Agreement. The Registration Agreement gives the registry permission from you, the registrant, to send a copy of your advance directive and emergency contact information to those authorized to access them.

2. Mail or fax the Advance Directive, along with a completed and signed Registration Agreement to:
Vermont Advance Directive Registry
523 Westfield Ave.
PO Box2789
Westfield, NJ 07091-2789
Fax: 908-654-1919

3. If you do not wish to share your advance directive online because of privacy concerns:
You can complete and send an Advance Directive Locator Form instead.

The Locator Form is stored in the registry in place of the advance directive, and describes the physical location of your advance directive - that is who has copies of it, but not the actual contents.

Be aware that the Locator Form method may delay important health care decisions until the advance directive document is located.

Mail or fax the completed Locator Form along with the Registration Agreement to the above address.

For technical assistance

Confirmation from the Registry
After receiving and processing the documents, the registry will mail you a confirmation letter that the documents were scanned and safely stored in the registry.

Along with the confirmation letter, you will receive:

  • A registration ID number on a wallet card.
  • Adhesive labels with registry contact information.
  • Instructions for accessing the registry, viewing the documents, and making changes.

Annually, the Vermont Advance Directive Registry will contact you by mail to confirm your advance directive information.

You are responsible for the accuracy of your advance directive, to ensure it reflects your wishes and instructions at all times, and any other important update information such as changes of address for your agent and alternate agents.

Advance Directive Forms

Follow the mail or fax directions above to submit the Advance Directive form, along with the Registration Agreement, to the registry.

Physical Address:
55 Joy Drive - South Burlington, VT 05403
View Map
Contact Numbers:
Telephone: 802-658-6110

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