Request an Appoinment

Clinic Hours

Mon – Fri: 7:30 AM – 5:30 PM
Sat: 7:30 AM – 12:00 PM
Sun: Closed

Connect With Us

Welcome! If you would like to request an appointment at our hospital, please fill out and submit the form below, or call us at (715) 623-4116. Please note that this is only a request, someone from our office will contact you shortly to confirm a date and time for your appointment. If your matter is URGENT, or you feel you are experiencing an EMERGENCY, please call us immediately at (715) 623-4116 and DO NOT use the form below.

Your Name*

Your Email*

Your Phone*

Request Date*

Reason for Appointment: