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.

News & Updates

NOTCH CEO, Pam Parsons, wins Vermont Community Leadership Award!: The VT Community Leadership Award is presented each year to celebrate Vermonters who exemplify “dedication, integrity and honorable service to community and to rural Vermont,” and who…Read more >

Want to be healthier and feel better? can help! Our local coordinators can connect you with workshops right in your community. These are led by health experts who….Read more >

NOTCH Opens St. Albans Pharmacy!
NOTCH is excited to expand access to pharmacy services in Franklin County!  NOTCH St. Albans Pharmacy is… 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.