Patient Resources

Your First Visit

To make sure your first visit with us is a success, we have a few tips.

What to bring:

• • Photo ID
  • Insurance card or information
  • All medications (prescriptions, over the counter medications, supplements) in their original containers

We ask that you:

• • Arrive 30 minutes early for your first appointment. This way we can update your insurance information and provide you with important information and policies.
  • Bring a list of your health care questions or concerns. This helps us identify the most important topics to cover during your first visit.
  • Complete a patient information form. This will help us keep your address, contact information, and emergency contact information up to date.
  • Complete a medical records release. This allows us to get records from your previous provider.

Patient Portal

The patient portal is a secure website where you can see your medical history and test results at Black River Health.

Insurance Coverage

Black River Health participates in a variety of health plans, and your plan may require multiple copays, higher deductibles, and coinsurance.

Financial Assistance

Black River Health believes everyone should have access to quality health care. That is why we will not deny you access to health care services even if you are unable to pay.

Forms

General Forms

Pediatric Forms

Procedure Forms

Providing Feedback

We are here to provide excellent service, and we want to hear how we can do that for each patient. Black River Health sends surveys to patients via text message after their visits to collect honest feedback from patients. Please complete these surveys so we can better serve you and other patients like you.

Rewarding Excellent Care

If someone at Black River Health provided excellent care, please tell us about it. You can share your gratitude by nominating a nurse for the DAISY Award or a member of your care team for the PETAL Award.

Concerns About Your Care

Please tell a staff member if you have a concern about your care.

Patients can also contact the Compliance Officer or the Quality Director at (715) 284-5361.

Patients with concerns about billing can contact a patient financial advocate at (715) 284-1368 or (715) 284-3691.

Patients also may voice or mail concerns to the following licensing agencies:

The Joint Commission: Office of Quality Monitoring
One Renaissance Blvd
Oakbrook Terrace, IL 60181
1-800-994-6610
Online Complaint Form | Email

Metastar: Medicare Quality Improvement
2902 Landmark Place
Madison, WI 53713
608-274-1940
Online Feedback Form

Division of Quality Assurance
PO Box 2969
Madison, WI 53701-2969
608-264-9888
Instruction to Submit a Complaint

Patient Policies

We have policies in place to ensure Black River Health is upholding standards when interacting with patients, including upholding privacy and ensuring non-discrimination.