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forms & resources

707 S UNIVERSITY AVE \ BEAVER DAM WI 53916 \ 920-887-7181

Authorization Form for Use and Disclosure of Health Care Information

A completed form signed by you and your legal guardian is required to release your information. You may fax your completed form to us at 920-887-6691 or mail to us at:

Beaver Dam Community Hospitals, Inc.
Health Information Management
707 S. University Ave.
Beaver Dam, WI 53916

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Access to Medical Records (Patient Portals)

Beaver Dam Community Hospital

BDCH Medical Clinics

 

Patient Registration Forms (BDCH Medical Clinics)

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Chiropractic Clinic New Patient Registration Form

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Financial Assistance

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Community Care Policy DOWNLOAD FORM http://bdch.com/sites/bdch.com/assets/images/Patients-Visitors/download.png

 

Personal Medication Listing

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Notice of Privacy Policies

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Patient Rights and Responsibilities

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Patient Handbook

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Price Point

Price Point allows health care consumers to receive basic, facility-specific information about healthcare services and charges. Learn more

 

Act 16 Pricing Information

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