Patient & Visitor Information

Patient Information

If you are scheduled to have any type of procedure done at IMC, you will need to register at our Admissions Office.  To ensure a speedy and accurate registration, please have with you the following:

• Insurance cards and information.
• A list of medications you are currently taking
• Advance Directive, if you have one
• If you do not have an Advance Directive but would like to create one, our staff will assist you

Our Business Office is available during the week 7:00 am – 8:30 pm and weekends 8:00 am – 8:30 pm to assist you with any questions at 715-468-7833.

BILLING QUESTIONS

Please contact our Billing Department if you have any questions regarding your bill.  If you are having difficulty making your payments, our Patient Accounts Department will provide assistance.  A monthly payment schedule can be arranged based on your financial resources.
Accounts that are not paid upon the due date, and for which no special arrangements have been made, may be referred to a collection agency.
Our Patient Accounts Department is available Monday – Friday from 7:00 am – 4:00 pm.
                        We now accept payment by Visa or Mastercard

VISITOR INFORMATION

• Family members are welcome to visit anytime. 
• Our normal visiting hours are 11:00 am – 8:30 pm
• Vending machines are located in the hospital cafeteria, in the basement. 
• For your convenience, Internet is available for patients and family members.  Please inquire at the nurses station on 2nd floor.
• Clergy members are available upon request.

INDIANHEAD MEDICAL CENTER AND THE SHELL LAKE CLINIC IS A SMOKE-FREE AND TOBACCO-FREE CAMPUS!

ADVANCE DIRECTIVES

What is an Advance Directive?

An Advance Directive or living will is a document which allows you to instruct others your wishes concerning medical treatments at the end of life.

The Wisconsin Department of Health Services has advance directive forms available online. These forms are designed to be completed without the assistance of an attorney. Click in the following link to complete your own Advance Directive:

http://dhs.wisconsin.gov/forms/AdvDirectives/ADFormsPOA.htm

Forms available:

• Declaration to Physicians (Wisconsin Living Will) (This form makes it possible for an adult to state their preferences for life-sustaining procedures and feeding tubes in the event the person is in a terminal condition or persistent vegetative state)
• ower of Attorney for Health Care (This form makes it possible for an adult to authorize another individual to make health care decisions on their behalf should they become incapacitated).
• Power of Attorney for Finance and Property (This form makes it possible for an adult to give another person broad powers to handle your finances and property should you become disabled or incapacitated)
• Authorization for Final Disposition (This document allows an adult to designate another adult to make funeral arrangements on behalf of the declarant)
  

What YOU should know:

• A medical power of attorney allows you to appoint a person you trust as your healthcare agent, who is authorized to make medical decisions on your behalf.
• Before a medical power of attorney goes into effect, your physician must conclude that you are unable to make your own medical decisions. In addition:
• If you regain the ability to make decisions, your healthcare agent cannot continue to act on your behalf
• Other states may have additional requirements that apply to decisions about life-sustaining medical treatments
• Advance Directives are legally valid throughout the United States. YOU DO NOT NEED A LAWYER TO FILL OUT AN ADVANCE DIRECTIVE. Your Advance Directive becomes legally valid as soon as you sign it in front of the required witnesses.
• Emergency medical technicians cannot honor living wills or medical powers of attorney. Once medical personnel have been called, they must do what is necessary to stabilize a person for transfer to a hospital, from an accident site or the home. After a physician evaluates your condition, an advance directive can be implemented.
• One state’s advance directive does not always work in another state. If you spend a significant amount of time in more than one state, for example if you reside in Wisconsin but spend winters in another state, you should complete the advance directives for all states. For more information on other state’s advance directives, visit the official website for the state you are interested in.
• Advance Directives do not expire. An advance directive remains in effect until you change it. If you complete a new advance directive, it invalidates the previous one.
• If you already have an advance directive in place, remember to review it periodically to ensure that it still reflects your wishes.

RELEASE OF MEDICAL INFORMATION

The Medical Records department at Indianhead Medical Center is staffed to handle requests and releases for medical record information Monday through Friday from 8:00am until 4:30pm.

Some things to know about requesting copies of medical information to be sent to yourself or someone else:

1. Please complete an Authorization for Release and Disclosure of Protected Health Information form.  You will need to complete the following information:

• Patient name and date of birth
• Who we are furnishing records to with address
• Purpose for release
• Nature of information to be released (if you are requesting radiology films, please call the radiology department at extension 116)
• Dates of treatment
• Signature of patient, parent of minor, or personal representative and date signed

Please note, if the form is not fully completed, we will need to send it back to      you because HIPAA regulations require that all information be completed.

 *If you are a Power of Attorney, Executor of the Estate, or Administrator of the   Estate, please sign and indicate this authority.  NOTE: we must have a copy of       this legal document giving you this authority or we will be restricted from        processing your request.

2. Return the completed Authorization form.  Please mail to:

Indianhead Medical Center
Attn: Medical Records Department
113 4th Ave, PO Box 300
Shell Lake, WI 54871

3. If you would like to follow-up on a request you have sent to us, please feel free to contact our Medical Records department at 468-7833.