Waupaca Appointment Request

If you are experiencing a medical emergency please dial 911 to contact local emergency response personnel.

Thank you for using the Ministry Medical Group request for appointment system. This system is intended for requesting appointments for you or a family member.

Weekdays, within 24 hours of your request, you will be contacted by one of our staff members to complete your appointment. NOTE: If you request your appointment over the weekend, we will contact you on Monday.

If you have any questions or your request for an appointment is within 24 hours, please contact our appointment line.

Appointments and after hours support are available by calling 715.258.3650

Clinic Hours:

Monday, Thursday, and Friday 8 - 5 p.m.

Tuesday 7 - 6 p.m.

Wednesday, 7 - 6 p.m.

Saturday, 8 - Noon

*	required fields
New or Existing Type*:	New Patient Existing Patient
Provider Preference:
Patient First Name*:
Patient Last Name*:
Date of Birth*:	MM/DD/YY
Phone:
Your email Address*:
Confirm your email Address*:
Suggested appointment date and times:
Best time for a return call:
Communication Preference*:	email phone
	If you choose to receive follow-up appointment information by email, please be aware that transmissions may not be secure and information will be limited to appointment date, time, and provider name. This appointment request is not a means to communicate confidential medical information between providers and patients.
Special comments about appointment

Please be assured that this online appointment request form is a secured and confidential area, and that information entered and submitted is confidential.

Clinic Location:

(Chain O' Lakes Family Clinic)
190 Grand Seasons Drive
Waupaca, WI 54981

Main Number: 715.258.3650

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