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Forms & Resources
As a part of our mission to provide comprehensive, coordinated healthcare to our patients, we offer several resources to simplify your patient experience.
Billing Inquiries
OakLeaf Clinics Business Office
719 W Hamilton Ave, Suite B
Eau Claire, WI 54701
715-552-9784
Fax: 715-835-6370
Monday through Friday, 8 AM until 5
Alternatives to In-Person Visits
MyChart, telehealth, and virtual visits are alternatives to an in-person visit and will be submitted to your insurance carrier. We are happy to offer these as alternatives and will continue to make them available moving forward.
- MyChart (patient portal) — An essential tool for communicating with your healthcare team — Connect to your video visits, message clinicians, refill medications, request appointments, complete forms, e-check in, and access your medical records. If you do not have a MyChart account, sign-up online now or call and we will assist you. View MyCart tips for video visits.
- Telehealth (video visits) — Call us or click here to request a telehealth visit with any of our clinicians. Technology is essential and as simple as having MyChart (preferred), FaceTime, Zoom, Skype, etc.
- Virtual Visits (telephone) — Have a phone conversation with the physician, nurse practitioner, or physician assistant. Call us or click here to request a virtual visit. Your provider will call you at the scheduled time.
Patient Forms
All Locations
Authorization for Disclosure of Health Information
Authorization for Treatment of a Minor
Medicare Wellness Exam Questionnaire
MyChart - Video Visits Tip Sheet
MyChart Mobile App Instructions
Patient Notice-Protection Against Surprise Billing
Eau Claire Medical Clinic + Chippewa Falls
Foot & Ankle
OB/GYN
OakLeaf Pediatrics
NICHQ Vanderbilt Assessment - Parent
NICHQ Vanderbilt Assessment - Teacher
NICHQ Vanderbilt Follow-Up - Parent
NICHQ Vanderbilt Follow-Up - Teacher