This health center is a Health Center Program grantee under 42 U.S.C. 254b, and a deemed Public Health Service employee under 42 U.S.C. 233(g)-(n).

NOTCH offices remain open to provide essential medical and dental care (including Medication Assisted Treatment).  24 Hour on-call service is available by dialing the NOTCH Location where you receive care.  Please watch our NOTCH Facebook page for up-to-date messages. 

It’s extremely important for everyone to address health issues proactively to avoid hospitalization during the COVID-19 pandemic.  NOTCH patients are encouraged to call our offices if they are sick.  Staff is present at each location and will work with patients to determine the safest method to address immediate health concerns of individuals.  Telehealth appointments can be delivered to a patient using any telephone (audio only).  Patients with access to technology may use a cell phone or computer to receive a link for a “virtual” appointment.

Welcome to Northern Tier Center for Health

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.


Federally-funded health centers care for you, even if you have no health insurance. You pay what you can afford based on your income. Health centers provide:

  • checkups when you’re well
  • treatment when you’re sick
  • immunizations and checkups for your children
  • dental care and prescription drugs for your family
  • mental health and substance abuse care if you need it

Discrimination is Against the Law


Northern Tier Center for Health (NOTCH) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.   NOTCH does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.


  • Provides free aids and service to people with disabilities to communicate effectively with us, such as:
  • Qualified sign language interpreters
  • Written information in other formats (large print, audio, accessible electronic formats, other formats).
  • Provides free language services to people whose primary language is not English, such as:
  • Qualified interpreters
  • Information written in other languages

If you need these services, contact Lynn Desautels, Director of Quality, Risk, and Compliance.


If you believe that NOTCH has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex you can file a grievance with: Lynn Desautels, Director of Quality, Risk Manager, and Compliance, 44 Main Street, Suite 200, Richford, VT, 05476, Phone (802) 255-5568, TTY 802-255-5568, Fax 802-255-5569,  You can file a grievance in person or by mail, fax or email.  If you need help filing a grievance, Lynn Desautels, Director of Quality, Risk, and Compliance, is available to help you.


            You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office of Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at;, or by mail or phone at:


U.S. Department of Health and Human Services

200 Independence Avenue, SW

Room 509 F, HHH Building

Washington, D.C.  220201

1-800-368-1019, 800-537-7697 (TDD)


Complaint forms are available at


French, Spanish, Vietnamese, Chinese/Mandarin, Nepali, Serbocroatian (Serbian language). German, Cushite (oromo language-African), Arabic, Russian, Tagalog, Italian, Thai, Japanese, and Portuguese.


ATTENTION: Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1-802-255-5568 (ATS: 1-802-255-5568). 


ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-802-255-5568 (TTY: 1-802-255-5568).


CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-802 255-5568 (TTY: 1-802-255-5568).


注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電 1-802-255-5568(TTY:1- 802-255-5568).


ध्यान दनुहोस:्तपाइले नेपाल बोल्नहन्छ भन तपाइको निम्त भाषा सहायता सवाहरू नःशल्क रूपमा उपलब्ध छ । फोन गनुहोसर् ्1- 802-255-5568  (टटवाइ: 1-802-255-5568) ।


OBAVJEŠTENJE: Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno. Nazovite 1-802-255-5568 (TTY- Telefon za osobe sa oštećenim govorom ili sluhom: 1-802-255-5568).


ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-802-255-5568 (TTY: 1-802-255-5568).


XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 1-802-255-5568 (TTY: 1-802-255-5568).

) 802-255-5568-1رقم


ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم

ھاتف الصم والبكم.(802-255-5568-1:


ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-802-255-5568 (телетайп: 1-802-255-5568).


PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad.   Tumawag sa 1-802-255-5568 (TTY: 1-802-255-5568)


ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-802-255-5568 (TTY: 1-802-255-5568).


เรียน: ถ้าคุณพูดภาษาไทยคุณสามารถใช้บริการช วยเหลือทางภาษาได้ฟรี โทร 1-802-255-5568

(TTY: 1-802-255-5568)



1-802-255-5568 (TTY:1-802-255-5568)まで、お電話にてご連絡ください.


ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1-802-255-5568  (TTY: 1-802-255-5568)