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About Us
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Contact Us

About Us
Services
Meet the Providers
- Providers
- Midwives
For Patients
Contact Us

Request an Appointment

On Call Schedule

Request an Appointment

We cannot schedule same-day appointments via this website; however, same-day appointments may often be available. Please call our office if you want an appointment today. Please be aware that you are submitting a request only. A representative from our office will contact you within 24 to 48 business hours to confirm a date and time.

Please DO NOT fill out this form if: this is a true medical emergency call 911 or you need an immediate response call 802-879-1802 and a doctor will be paged.

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Your Name(Required)

First Last

Date of Birth

MM slash DD slash YYYY

Type of Patient

New

Existing

Your Address

Street Address Address Line 2 City ZIP Code

How Can We Reach You?

Preferred Method of Contact

Your Email Address(Required)

Email Address Confirm Email Address

Your Phone(Required)

Reason for Appointment(Required)

Pregnancy

Annual pyshical

Vaginal infection

Abnormal bleeding

STD screening

Other

If other, please give reason for appointment

Preferred provider(Required)

First available

Kara A. Flaherty, MD, FACOG

John J. Gallagher, Jr., MD, FACOG

Paula M. Miner, MD, FACOG

Sally A. Stockwell, MD, FACOG

Maria G. Carracino, MD, FACOG

Midwives

Preferred day

Monday

Tuesday

Wednesday

Thursday

Friday

Preferred time

Early morning

Mid morning

Afternoon

How did you hear about us?

Physician

Family/ Friend/ Co-worker

Insurance

Web/Internet

Social Media (facebook)

Print Ad / Newspaper

Drive by

Other

Disclaimer: This form should not be used to communicate any confidential personal or medical information (PHI), but should only be used for appointment requests and general questions.

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This form should not be used to communicate any confidential personal or medical information (PHI), but should only be used for appointment requests and general questions.

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Champlain Obstetrics & Gynecology is the area\'s longest-established women\'s health practice helping thousands of women from Essex Junction to the Burlington region of Chittenden County, VT. Our women\'s health specialists are Dr. Kara A. Flaherty, Dr. John J. Gallagher and Dr. Maria G. Carracino. They have more than 50 years of combined experience specializing in all aspects of women\'s healthcare including prenatal & maternity care, well-woman care, surgical and nonsurgical care including daVinci robotic surgery, minimally invasive procedures, abnormal bleeding, bioidentical hormone replacement therapy, menopause management and leaky bladder repair and many more.

(802) 879-1802
55 Main Street, Suite 3
Essex Junction, VT 05452
Fax: (802) 878-6131