Sauk Prairie Healthcare does not discriminate against patients due to race or ethnicity.
The Federal Government has provided new guidelines for collecting the following information.
Person to Notify
Primary Insurance Information
Since the patient is not the primary subscriber, we will need the subscriber's:
Secondary Insurance Information
If patient is not the subscriber, we will need the subscriber's:
If you do not have health insurance to cover your services, please call 608-643-7190 to speak with a Patient Financial Specialist.
Complete This Portion for Maternity Admission