St. Luke Community Healthcare Logo

107 6th Ave SW, Ronan, MT 59864

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St. Luke Hospital
(406) 676-4441

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Nurse On Call 24/7
(located in Montana)
(406) 676-3737

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Clinics
Ronan (406) 676-3600
St. Ignatius (406) 745-2781
Polson/Southshore (406) 883-2555
Polson/Ridgewater (406) 883-3737

St. Luke Community Healthcare Logo

Located in Western Montana
107 6th Ave SW, Ronan, MT 59864

call St. Luke Hospital    Call Nurse on Call 24/7    Call Clinic

Medicare Wellness Form.

Medicare Annual Wellness Visit Form

Only NEW patients may submit the online form. Please download the POLSTand MY CHOICE ADVANCED DIRECTIVES forms, fill out and bring with you to your appointment or upload them before submitting your online Wellness Visit form.

Medicare Annual Wellness Visit - New Patient
During the past 30 days, how often did you eat 5 servings of fruits and vegetables per day? *
In the last 12 months, did you ever eat less than you thought you should because there wasn't enough money? *

Maximum file size: 67.11MB

Maximum file size: 67.11MB

St. Luke is committed to making our website accessible to all users, including those with disabilites. If you encounter any issues or require aditional assistance with specific pages or forms, please contact our PR Manager at (406) 528-5262. Thank you.

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MAKE A DIFFERENCE

Donate to the St. Luke Foundation

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Join Our Team

Applications remain active for 1 year.
St. Luke is an Equal Opportunity Employer.

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myHealth Portal

Keep track of medications, refills, receive lab results and update contact/insurance info.

FINANCIAL ASSISTANCE

If you are in need of services at St. Luke Community Hospital, and you are without healthcare coverage or have financial challenges, please print and complete a copy of the following forms.

© 2023 St. Luke Community Healthcare. All rights are reserved.

© 2023 St. Luke Community Healthcare. All rights are reserved.