Coronavirus Disease 2019 (COVID-19) Update

Madison Medical Affiliates & Ascension are working together to keep our community healthy during this time and prevent the spread of infection while also offering options for easier access to care.

  • If you have a fever, cough or shortness of breath and need care, please call your personal physician, as a first step. We recommend if you have symptoms, you should stay home and avoid exposing others until you can talk with a doctor.
  • Madison Medical Affiliates is offering TeleHealth visits with our providers through Ascension Online Care. Please call our office to schedule a TeleHealth visit.
  • New temporary visitor rules have been implemented to try to decrease the spread of coronavirus (COVID-19) and to keep our patients, families, care teams and the communities we serve safe. At this time, facilities near you may be restricting visitors. Please contact us before visiting.
  • If you are experiencing a life-threatening emergency or difficulty breathing, go directly to the ER or dial 911.

More about COVID-19 from Ascension

Coronavirus Disease 2019 (COVID-19) Update Close

Patient Forms

In an effort to continually provide the highest level of care, we are always looking for ways to improve our processes and service. Having the appropriate paperwork filled out prior to your visit helps us streamline your patient experience. Following are the most common patient forms available for download.

Influenza Vaccine - Consent Form

Influenza Vaccine - Vaccine Information Statement

Medical History – New Patient

Medical History – Existing Patient

Medical History – Dermatology (TIP: Taking High Quality Photos for Virtual Care)

Patient Information