Financial Assistance/Patient Forms

Financial Assistance Documents
Is My Provider Covered?

Click Here for a list of which providers are covered under our Financial Asistance Policy.

Privacy Policy

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

RAMC Privacy Notice  (English)  (Spanish)


Please follow this link for a complete overview of a Health Care Power of Attorney

En Español: Poder judicial para la atención médica

If you need assistance in completing this document you may contact: Reedsburg Area Medical Center at 608-524-6487 and ask to schedule an appointment with an Advance Care Planning Facilitator.

Release of Information

Reedsburg Area Medical Center is committed to protecting your privacy and confidentiality. Which is why we require patient or legal guardian authorization to release copies of your medical records. The Health Information Services Department maintains all RAMC patient healthcare records and reviews all requests for copies before processing.

Requested records are sent by mail and are not available by facsimile. The original records are kept at Reedsburg Area Medical Center. You may request copies of your records at any time.

How to Obtain Copies of Medical Records—In order to obtain copies of your medical records, you are required to fill out an "Authorization for Disclosure of Protected Health Information" form.  You may request one by calling the Health Information Services Department at 608-524-6487, ext. 1800 or follow this link to access RAMC's Authorization for Disclosure of Protected Health Information.