Welcome to the Chippewa Valley Free Clinic.


Patient Handbook

All patients are treated with compassion and a non-judgmental attitude. As a Clinic, we are caring and act in ways that respect the dignity, uniqueness, and important worth of every person.

WHAT IS THE PURPOSE OF THE HANDBOOK?

This handbook will help you and your family

  • Understand the services provided by the Clinic.
  • Participate more actively in the care you receive.
  • Learn about Clinic procedures important to your care.
  • Assume individual responsibility as a Clinic patient.

WHAT ABOUT MEDICATIONS?

  • All medications are FREE IF YOU MEET ELIGIBILITY REQUIREMENTS to receive Clinic services.
  • The Clinic can provide medications free of charge (if you meet eligibility requirements) because they are provided by some drug companies. This service is called the Patient Assistance Program or PAP; it helps the Clinic keep costs down. To obtain medications from the drug companies using the PAP, the Clinic must have proof of your income (i.e., tax return or proof of non-filing). Without proof of your income, the drug company will not provide the medications.
  • Some medications are not available at the Clinic (e.g., narcotics, birth control).

WHAT SERVICES DOES THE CLINIC PROVIDE?

Tuesday Medical Clinic

  • All Clinic patients are welcome. This includes walk-in and ongoing/continuing patients.
  • Every Tuesday 4 – 8pm
  • Walk-in registration: 4 – 6pm
  • Patients with diabetes: By appointment only

Thursday Medical Clinic

  • All Clinic patients are welcome. This includes walk-in and ongoing/continuing patients.
  • 1st and 3rd Thursday 9am – 2pm
  • Walk-in registration: 9 – 10am
  • Patients with diabetes: By appointment only

Mental Health Clinic

  • 2nd and 4th Thursday 5pm – 8pm: By appointment only.

Vision Clinic

  • 4th Thursday 5pm – 7pm: By appointment only
  • Vision Clinic schedule may be expanded

Dental Care

  • The Dental Clinic is by appointment only, every Tuesday 5 – 8PM

In order to make an appointment for our Dental Clinic, you must first register as a patient at one of our Walk-In Clinics. If you qualify for services, you will then be added to the dental appointment waiting list

Medication Refill

  • Medications will be re-filled ONLY (a) during the Tuesday Medical Clinic and (b) at all Thursday clinics.
  • You MUST call the Clinic the day before pick-up to request your medication re-fill: 715-839-8477. This will help staff prepare your re-fill.

HOW SHOULD I PREPARE FOR MY VISIT?

MAKE AN APPOINTMENT for the clinic service you need.
Appointments are required for ALL services except the walk-in clinics that are held on (a) Tuesday evening 4 – 8pm and (b) the 1st and 3rd Thursday 9am – 2pm. To make your appointment, call 715-839-8477.

REMEMBER: If you cannot keep your appointment, you must call at least 4 hours before your appointment time to cancel or reschedule it. You will be dismissed from the Clinic if you have more than two appointment noshows (that is, you missed your appointment and you did not call at least 4 hours beforehand).

BRING YOUR PROOF of income (tax return or proof of non-filing).
BRING A LIST of your medications.

CHIPPEWA VALLEY FREE CLINIC PATIENT HANDBOOK SIGNATURE

Please read the Full Patient Handbook PDF above carefully. If you do not understand something in the handbook, please ask
a Clinic staff or volunteer to talk about it. It is your responsibility to be familiar with the Clinic policies and
procedures.
To indicate you have read and understand the information in the handbook or someone has read it with you,
please print your name, sign, and date in the space below. Your signature will be kept in your Clinic record.
Thank you for your cooperation.

IMPORTANT INFORMATION:
To qualify for services at the Chippewa Valley Free Clinic, proof of your income is necessary. You cannot receive services at the Clinic without this proof. On the following list, the Patient Advocate or other Clinic staff member will check the items you must provide. If the Clinic does not receive this proof by the date indicated, your services will be discontinued.

WHAT IS THE CHIPPEWA VALLEY FREE CLINIC?

The Clinic

  • provides health services for people of the Chippewa Valley who have no other health care coverage.
  • serves all patients without regard to personal, social, political, or family beliefs or characteristics. It does not discriminate in any way. n protects you and your family’s privacy while providing services. The Clinic will not share any information that identifies you as an individual.
  • depends on volunteers and generous support from the community. Most of the clinic services are not funded by the federal or state government.

AM I ELIGIBLE TO RECEIVE SERVICES?

  • Your household income must be at or below 200% of federal poverty guidelines. These guidelines are available at the Clinic.
  • You cannot be covered by any other health insurance.
  • You cannot have access to any other health care coverage. You are not eligible to receive Clinic services if you qualify for VA benefits, Medicare A or B, Medicaid, or disability.
  • To confirm your eligibility, you must provide proof of income. This will be a tax return or proof of non-filing.

WHAT CAN I EXPECT DURING MY VISIT?

To determine your eligibility for Clinic services, your household income will be reviewed by a Patient Advocate. The Patient Advocate will discuss the proof of income you have with you or the proof you will need to bring. Any other questions you have can be talked about at this time.

  • After meeting with the Patient Advocate, you will meet with a registered nurse. The nurse will do an initial check (e.g., reason for your visit, blood pressure, etc.)
  • You will then meet with a doctor or a nurse practitioner who will do a more complete check and make decisions with you about your health problem.
  • You may be referred to other medical specialties (e.g., Eau Claire City-County Health Department for family planning and STD testing/treatment) or to resources in the community (e.g., food pantries, housing options, job opportunities). A case manager or nurse will discuss these referrals with you.
  • Spanish language interpreters are available.
  • Because the Clinic makes every effort to provide thorough and high quality care to all patients, your visit at the Clinic will take about two hours for most services.
  • You will be treated with respect. You are expected to respect all Clinic staff and volunteers. Verbal abuse or combative behavior will not be tolerated and will result in immediate dismissal from the Clinic.

Our Clinic provides services at no charge to eligible patients.

  • The Clinic can stop services to patients who:
    • Falsely describe their need or their information.
    • Do not follow Clinic rules as they are defined in this Patient Handbook, or are disrespectful, abusive, or combative do not use services as they were intended.
    • Have more than two no-shows for scheduled
      appointments.

Our Clinic does NOT provide (a) physicals for Workman’s Compensation, (b) Commercial Driver’s License evaluations, (c) STD and HIV/AIDS testing, (d) specialty care (e.g., OB/GYN, cancer) or (e) preventive procedures (e.g., mammogram, colonoscopy). The Clinic does its best to find available resources and/or refer those patients who need these services.

Our Clinic does NOT give any controlled substances. No narcotics are kept on the Clinic property.