CORONAVIRUS-COVID-19 UPDATES

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Forms

Please find below forms available online. If you are looking for a form that is not listed below, please call (608)348.2331 for assistance.

Release of Information

  • Click here to print form
  • Submit by faxing to 608.342.5011, mailing to 1400 Eastside Rd. Platteville, WI 53818, or dropping off at the Front Desk of the ER, Hospital, or Clinic Entrance.
  • Questions? Contact Health Information Management at 608.342.4718, option 2.