Provides information about how to create, register, and make changes to an advance directive. Also, provides instructions and order forms for a Do Not Resuscitate (DNR) order.

Educates Vermonters about end-of-life options, including medical aid in dying under Vermont's Act 39. This law enables mentally competent adult Vermont residents who have a terminal illness with 6 months or less to live with the option of requesting medical aid in dying. Provides advice and assistance to both doctors and patients. Offers online and printed materials that include A Vermonter's Guide to End-of-Life Decision-Making as well as a Pocket Guide to Medical Decision-Making and provides suggestions for patients on how to talk to their doctor. Also advocates to influence policy, regulations, and practices that affect the terminally ill. Complete inquiry form through the website required. Inquires via email, telephone, or the website typically returned in 24 hours. Vermont's law permits participating medical providers to prescribe medical aid in dying prescriptions, which must be administered by the patient themselves. Patients typically call Patient Choices Vermont seeking information about aid in dying or to receive coaching on how to find and talk to a doctor about prescribing under Act 39. Doctors who call typically are referred to other doctors who can provide them with information on clinical assessment, conversations in the case of terminal illness, and medications.

Provides programs that help individuals to remain in their homes and connected to the community. Services may include transportation to medical appointments, shopping, and friendly visits, community nurse visits, referrals for other services, wellness classes and activities.

Provides holistic care services to all community members that may include the following Nursing, Behavioral Health and Physical Health Coaching services: Nutrition education, exercise education and counseling, short-term behavioral counseling, Diabetes education, individual health coaching, medication management, weight management-individual and group support, senior social isolation groups, Senior/ Disabled medical wellness home visits, smoking cessation, Advanced Directives, Fall Safety assessments, medical transportation and dental solutions. Grace Cottage's Community Health Team also provides a Resource Advocate who will assist with completing applications for the following services and assistance: health insurance (VT Health Connect and Medicare and Medicare D comparisons), SSDI/SSI, and prescription costs, as well as application assistance for housing, food, and utilities. Community Health Teams supplement the services available through primary care providers and serve to link individuals with the social and economic services that make healthy living possible for all community members. Each of Vermont’s Health Service Areas designs a Community Health Team to meet the needs of the local population and services may vary.

Provides assistance with advance care planning for individuals who want to express their wishes regarding future medical treatment should they become incapacitated and/or to name the individual they would like to make health care decisions on their behalf.

Outlines a step-by-step approach to advance care planning, including appointment of a health care agent, documentation of health care goals and treatment priorities (living wills), and consideration of medical orders to limit treatment at the end of life. Trainings and presentations are available for health care professionals, health care facilities, and community groups. The website has downloadable forms that can be used for establishing Advance Directives, registering documentation with the Vermont Advance Directives Registry, and reporting forms for Vermont's law on Physician Assisted Death. There is additional information about medical decision-making and relevant topics on medical ethics and palliative care.

Provides holistic care services to all community members that may include the following: Nursing, Behavioral Health and Physical Health Coaching services: Nutrition education, exercise education and counseling, short-term behavioral counseling, Diabetes education, individual health coaching, medication management, weight management-individual and group support, smoking cessation, Advanced Directives, Fall Safety assessments, medical transportation and dental solutions. Community Connections Community Health Team also provides Resource Advocates who will assist with completing applications for the following services and assistance: health insurance (VT Health Connect and Medicare and Medicare D comparisons), SSDI/SSI, and prescription costs, as well as application assistance for housing, food, and utilities. The team also includes VT Health Connect navigators and assistors, as well as care managers for individuals who require support maintaining independence and stability within the community. Provides support services for patients and their families during hospitalization and upon discharge, for people receiving outpatient services, for previous patients and for other people not previously associated with the facility who need the service. Implements a Community Health Improvement Program based on the Community Needs Health Assessment.