Sliding scale health-care services:

Medical & calendar icon

Checkups when you’re well, and treatment when you’re sick

Doctor and parent with baby

Immunizations and checkups for your children

Dental icon

Preventive and primary care dental services

medication icon

Prescription medications and diabetic supplies

Mental health icon

Mental health and substance abuse care

Looking for help after hours?

NOTCH has 24/7 after-hours phone coverage – call the location where you receive your care and follow the instructions to reach the on-call provider.

Interested in becoming a Patient?

Visit our Getting Started page for information on becoming a NOTCH Patient

Patient Centered Medical Home (PCMH)

NOTCH has been recognized by the National Committee for Quality Assurance (NCQA) as a Patient-Centered Medical Home since 2012.

The PCMH model of care places an emphasis on team-based care, communication, access, and care coordination. It also emphasizes better management of chronic conditions. This means that at NOTCH, we take extra care to track patients who have chronic diseases such as diabetes, or are at an age where critical preventative screenings, such as colonoscopies, need to begin.

NOTCH’s recognition is a reflection of our commitment to improving the health of our community. By managing and preventing chronic disease and promoting healthy lifestyles, we aim to empower our patients to take a proactive approach in managing their self-care and well-being.


News & Updates

It’s time to get your flu vaccine! It’s that time of year – flu season! It’s important for everyone 6 months or older to get a flu vaccine every year because…Read more >

NOTCH Offers pediatric services! Are you looking for a pediatric provider for yourself (young adult) or your child? Dr. Scott Spicer, a board-certified Pediatrician, has recently joined NOTCH Swanton Health Center. Dr. Spicer sees patients from…Read more >

Dubs Farm and NOTCH team up for garden cooking workshop: NOTCH partnered with Healthy Roots Collaborative and Northwest Farmacy CSA farm partners, Julie Wright, and Marc Webb of Dubs Farms, for an Open Farm Week activity hosted at Dubs Farms…Read more >


Northern Tier Center for Health (NOTCH) is a mission driven primary care practice with a focus on quality and continuity of care. We are a not-for-profit corporation governed by a community-based Board of Directors whose mission is to provide high-quality care in Vermont’s Franklin and Grand Isle counties.

NOTCH’s team of compassionate and devoted health care professionals and support staff develop long-term relationships with patients, often serving multi-generational families. The organization offers a full spectrum of health care services, including family medicine, internal medicine, behavioral health, pharmacy, lab, and general dentistry.