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Marshfield Medical Center-Dickinson
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Marshfield Medical Center-Dickinson Acute
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Marquette Center
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Marshfield Clinic Health System combines with Sanford Health.
Learn more
Sign In
Stay connected to your health care.
Wisconsin location
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Marshfield Medical Center-Dickinson
Emergency Department Patients Only
Sign In
Marshfield Medical Center-Dickinson Acute
Inpatient & Outpatient Services Patients Only
Request for Records
Marshfield Medical Center-Dickinson clinics
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Marquette Center
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1-800-782-8581
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If this is a medical emergency, call 911.
If you need to cancel or reschedule an appointment, please call
1-800-782-8581
and ask for your provider's office.
For requests requiring a prompt response, call:
Resource and Information Center:
1-866-520-2510
(Monday - Friday, 7:30 a.m. - 5 p.m.)
We'd love to hear from you!
Send us your request by clicking on the appropriate down arrow below.
Appointments
Please do not use this form to cancel or reschedule your appointment.
Self-service: Use
My Marshfield Clinic.
Call:
1-800-782-8581
and ask for your provider's office.
Care Providers
Please do not use this form to send a message to your provider.
Self-service: Use
My Marshfield Clinic.
Call:
1-800-782-8581
and ask for your provider's office.
For a guide to patient insurance information, please see
here
I would like help finding a care provider.
You can also search
here
for a provider.
Employment
For more information, please visit our
Careers
site.
I would like to request information about employment with Marshfield Clinic Health System.
Medical Record/Health Information
You can use your
My Marshfield Clinic
account (web access only) to access your medical record or request changes to your name, address, phone number, e-mail address etc..
I would like to request a copy of my medical record.
I need my medical record to be sent to another facility, provider, insurance company, etc..
I would like to allow my information to be shared with others (i.e., family members, etc).
I would like to request a correction to my medical record.
I would like to request a restriction on my medical record.
I would like to submit legal documents such as Power of Attorney for Healthcare or a Living Will.
I would like to submit adoption papers, guardianship or court documents.
I need FMLA, Disability, Worker’s Compensation, school forms completed.
My Marshfield Clinic
Please do not use this form to send a message to your provider.
I have a comment/suggestion for My Marshfield Clinic.
I would like help with My Marshfield Clinic (Technical Support).
Patient Experience
To share feedback or concerns regarding your care, please call:
1-800-782-8581
, ext. 7-5300 or
715-387-5300
.
Patient Financial Services
For more information, please visit
Common Billing Questions
.
I have a payment question.
I would like help with online bill pay.
I would like to request a fee estimate.
For more information, please see
fee estimates
.
I have a question about billing, coding, payment of claims, etc..
I would like something else (please specify what).
Technical Support
I would like help with My Marshfield Clinic.
I would like help with www.marshfieldclinic.org (website).
I would like help with something else (please specify what).
Please do not use this form to send a message to your provider.
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I verify this information is correct *
Use this form to obtain a good-faith estimate for the services you are requesting, based on the information you provide. Please be aware that actual charges may be greater or less than the estimate, depending upon the level of service provided or if the services are different than what is requested before the actual visit. We are not able to tell if the requested service is covered by your individual insurance plan. Please contact your insurance company to confirm coverage. We cannot provide estimates via email.