Direct Pay Medical Care
ReforMedicine (pronounced Reform Medicine) is a Direct Pay Medical Clinic providing Family Medicine and Primary Care for all ages, a Medical Weight Loss Treatment Program, Low Cost Labs, and On-Site and Near-Site Clinic DPC (Direct Primary Care) services for employers in Western Wisconsin.

Primary Care Services
ReforMedicine should be your first call for any non-emergency care need.

Wellness Care
Primary care providers care for patients of all ages from newborns to centenarians providing wellness care.

Acute Care
When you have a new problem that needs attention soon, but it’s not an emergency, it is considered to be “acute care.”

Chronic Conditions
Chronic conditions have less negative impact on your health when they are kept under control through regular testing.

Low Cost Lab Tests
No referral is needed and you do not need to be an established patient to schedule an appointment for a lab test.

Medical Weight Loss
ReforMedicine Medical Weight Loss Program treats the chronic relapsing disease of obesity.
Near-Site and On-Site Clinic Services for Employers
ReforMDirect by ReforMedicine offers comprehensive, cost-effective care that can save employers 20-55% on their total healthcare spend.

Experienced Providers
Our primary care providers see patients of all ages for any non-emergency primary care.
David J. Usher
Family Practice Provider, Medical Weight Loss Specialist
Locations:
- Eau Claire
Training:
- Bachelor of Science, Creighton University, Omaha, NE
- Medical Doctor, University of Iowa College of Medicine, Iowa City, IA
- Duke/FAHED Family Medicine Residency Program, Fayetteville, North Carolina
Certifications:
- Diplomate – American Board of Family Medicine
- Diplomate – Obesity Medicine Association
Professional Organizations:
- American Academy of Family Physicians
- Obesity Medicine Association
- Catholic Medical Association
Nola Westphal
Family Practice Provider
Locations:
- Menomonie
Training:
- Bachelor of Science, University of Minnesota-Duluth
- University of Minnesota Medical School
- University of Wisconsin Family Medicine Residency, Eau Claire, WI
Certifications:
- Diplomate, American Board of Family Medicine
Professional Organizations:
- American Academy of Family Physicians
Tom Joles
Cardinal Healthy Private Clinic
Locations:
- Cardinal Healthy Clinic
Training:
- Bachelor of Science, University of Wisconsin-Eau Claire
- Medical Doctor, Medical College of Wisconsin
- Family Medicine Residency, University of Wisconsin
Renee Carlson
Certified Family Nurse Practitioner (FNP-C)
Certified Adult Nurse Practitioner (ANP-C)
Advanced Practice Nurse Prescriber (APNP)
Medical Weight Loss SpecialistLocations:
- ReforMedicine Eau Claire
- Cardinal Healthy Primary Care Clinic, Chippewa Falls
Training:
- Bachelor of Science, Nursing: University of Wisconsin Eau Claire
- Master of Science, Nursing: University of Wisconsin Eau Claire
- Post Masters Emergency Medicine Certification/Fellowship: West Virginia University, School of Medicine
- Post Masters 2nd Board Certification, Nurse Practitioner: Maryville University
- Doctorate of Nursing Practice, Frontier Nursing University
Certifications:
- Family Nurse Practitioner
- Adult Nurse Practitioner
- Emergency Medicine Certification
- Advanced Practice Nurse Prescriber
- Advanced Cardiac Life Support
- Pediatric Advanced Life Support
Professional Organizations:
- American Association of Nurse Practitioners
- Obesity Medicine Association
Dana Butterbrodt
Certified Family Nurse Practitioner (FNP-C)
Advanced Practice Nurse Prescriber (APNP)
Medical Weight Loss Specialist
Director of Clinical OperationsLocations:
- Eau Claire
- Menomonie
- Hudson
Training:
- Bachelor of Science, Nursing, Viterbo University – LaCrosse, WI
- Masters Degree, Chamberlain College of Nursing – Chicago, IL
- Doctor of Nursing Practice (DNP) Degree, Viterbo University – LaCrosse, WI
- Masters of Business (MBA) Degree, Viterbo University – LaCrosse, WI
Certifications:
- Family Nurse Practitioner
- Advanced Practice Nurse Prescriber
- Certificate of Advanced Obesity Education
Professional Organizations:
- American Association of Nurse Practitioners
- Obesity Medicine Association
Michael Braunsky
Family Practice Provider
Doctor of Osteopathic MedicineLocation:
- Lake Hallie
Training:
- UW-Stevens Point, Chemistry & Biology
- Des Moines University Medical School, Iowa
- Residency in Family Medicine, University of Wisconsin School of Medicine and Public Health, Eau Claire
Certifications:
- American Board of Family Medicine
Additional Skills:
- Routine care for children and adults
- OMT (Osteopathic Manipulation Treatment)
- Joint injections and aspirations
- Minor skin and nail procedures
- Contraceptive management and IUD placement
Ellen Canopy
Physician Assistant, Medical Weight Loss Specialist
Locations:
- Eau Claire
- Hudson
Training:
- Bachelor of Science, Biology, University of Wisconsin-River Falls
- Masters Degree in Physician Assistant Studies, Jefferson College of Health, Roanoke, VA
Certifications:
- Certified Physician Assistant
- Basic Life Support
- Certificate of Advanced Obesity Education
Professional Organizations:
- American Academy of Physician Assistants
- Obesity Medicine Association
Brent Sarauer
Certified Physician Assistant (PA-C)
Location:
- Lake Hallie
Training:
- Bachelor of Science, Applied Science, University of Wisconsin-Stout
- Masters Degree in Physician Assistant Studies, Wichita State University, Wichita, KS
Certifications:
- Certified Physician Assistant
- Basic Life Support
Professional Organizations:
- American Academy of Physician Assistants
- Wisconsin Academy of Physician Assistants
Hear Brent on the “Dr. Usher Weighs In” Podcast when you click here.
Carly Scherz
Certified Physician Assistant (PA-C)
Location:
- Eau Claire
Training:
- Bachelor of Science, Biology and Health Sciences, UW-Eau Claire
- Masters of Health Sciences, Duke University Physician Assistant Program, Durham, NC
Certifications:
- Board Certified Physician Assistant
- Basic Life Support
- FMSCA DOT medical examiner
Professional Organizations:
- American Academy of Physician Assistants
- American Academy of Family Physicians
Hear Carly on the “Dr. Usher Weighs In” Podcast when you click here.
Lori Arndt
Family Practice Provider
Certified Physician Assistant (PA-C)Locations:
- Eau Claire
- Lake Hallie
Training:
- Bachelor of Science, Biomedical Science, Marquette University, Milwaukee, Wisconsin
- Masters Degree in Physician Assistant Studies, Marquette University, Milwaukee, Wisconsin
Certifications:
- Certified Physician Assistant
- Basic Life Support
- ISTM Certificate of Travel Medicine
Professional Organizations:
- American Academy of Physician Assistants
- Society of Dermatology Physician Assistants
- Wisconsin Academy of Physician Assistants
Hear Lori on the “Dr. Usher Weighs In” Podcast when you click here.
Marissa Talmage
Certified Physician Assistant (PA-C)
Location:
- Menomonie
Training:
- Bachelor of Arts, Biology, Saint Mary’s University of Minnesota, Winona, MN
- Masters Degree in Physician Assistant Studies, James Madison University, Harrisonburg, VA
Certifications:
- Board Certified Physician Assistant
- Basic Life Support
- Advanced Cardiac Life Support
- Pediatric Advanced Life Support
- Nexplanon Certification through Organon
Professional Organizations:
- American Academy of Physician Assistants
Hear Marissa on the “Dr. Usher Weighs In” Podcast when you click here.
Sophie Hong
Certified Physician Assistant (PA-C)
Location:
- Cardinal Healthy
Training:
- Bachelor of Science, Biology, UW-Eau Claire
- Master of Science in Physician Assistant Studies, Bethel University, Saint Paul, MN
Certifications:
- Board Certified Physician Assistant
- Basic Life Support
Professional Organizations:
- American Academy of Physician Assistants
- Wisconsin Academy of Physician Assistants
Hear Sophie on the “Dr. Usher Weighs In” podcast when you click here
David J. Usher
M.D.
David J. Usher
Family Practice Provider, Medical Weight Loss Specialist
Locations:
- Eau Claire
Training:
- Bachelor of Science, Creighton University, Omaha, NE
- Medical Doctor, University of Iowa College of Medicine, Iowa City, IA
- Duke/FAHED Family Medicine Residency Program, Fayetteville, North Carolina
Certifications:
- Diplomate – American Board of Family Medicine
- Diplomate – Obesity Medicine Association
Professional Organizations:
- American Academy of Family Physicians
- Obesity Medicine Association
- Catholic Medical Association
Nola Westphal
M.D.
Nola Westphal
Family Practice Provider
Locations:
- Menomonie
Training:
- Bachelor of Science, University of Minnesota-Duluth
- University of Minnesota Medical School
- University of Wisconsin Family Medicine Residency, Eau Claire, WI
Certifications:
- Diplomate, American Board of Family Medicine
Professional Organizations:
- American Academy of Family Physicians
Tom Joles
M.D.
Tom Joles
Cardinal Healthy Private Clinic
Locations:
- Cardinal Healthy Clinic
Training:
- Bachelor of Science, University of Wisconsin-Eau Claire
- Medical Doctor, Medical College of Wisconsin
- Family Medicine Residency, University of Wisconsin
Renee Carlson
DNP, APNP, ANP-C, FNP-C
Renee Carlson
Certified Family Nurse Practitioner (FNP-C)
Certified Adult Nurse Practitioner (ANP-C)
Advanced Practice Nurse Prescriber (APNP)
Medical Weight Loss SpecialistLocations:
- ReforMedicine Eau Claire
- Cardinal Healthy Primary Care Clinic, Chippewa Falls
Training:
- Bachelor of Science, Nursing: University of Wisconsin Eau Claire
- Master of Science, Nursing: University of Wisconsin Eau Claire
- Post Masters Emergency Medicine Certification/Fellowship: West Virginia University, School of Medicine
- Post Masters 2nd Board Certification, Nurse Practitioner: Maryville University
- Doctorate of Nursing Practice, Frontier Nursing University
Certifications:
- Family Nurse Practitioner
- Adult Nurse Practitioner
- Emergency Medicine Certification
- Advanced Practice Nurse Prescriber
- Advanced Cardiac Life Support
- Pediatric Advanced Life Support
Professional Organizations:
- American Association of Nurse Practitioners
- Obesity Medicine Association
Dana Butterbrodt
DNP, MBA, APNP, FNP-C
Dana Butterbrodt
Certified Family Nurse Practitioner (FNP-C)
Advanced Practice Nurse Prescriber (APNP)
Medical Weight Loss Specialist
Director of Clinical OperationsLocations:
- Eau Claire
- Menomonie
- Hudson
Training:
- Bachelor of Science, Nursing, Viterbo University – LaCrosse, WI
- Masters Degree, Chamberlain College of Nursing – Chicago, IL
- Doctor of Nursing Practice (DNP) Degree, Viterbo University – LaCrosse, WI
- Masters of Business (MBA) Degree, Viterbo University – LaCrosse, WI
Certifications:
- Family Nurse Practitioner
- Advanced Practice Nurse Prescriber
- Certificate of Advanced Obesity Education
Professional Organizations:
- American Association of Nurse Practitioners
- Obesity Medicine Association
Michael Braunsky
D.O.
Michael Braunsky
Family Practice Provider
Doctor of Osteopathic MedicineLocation:
- Lake Hallie
Training:
- UW-Stevens Point, Chemistry & Biology
- Des Moines University Medical School, Iowa
- Residency in Family Medicine, University of Wisconsin School of Medicine and Public Health, Eau Claire
Certifications:
- American Board of Family Medicine
Additional Skills:
- Routine care for children and adults
- OMT (Osteopathic Manipulation Treatment)
- Joint injections and aspirations
- Minor skin and nail procedures
- Contraceptive management and IUD placement
Ellen Canopy
PA-C
Ellen Canopy
Physician Assistant, Medical Weight Loss Specialist
Locations:
- Eau Claire
- Hudson
Training:
- Bachelor of Science, Biology, University of Wisconsin-River Falls
- Masters Degree in Physician Assistant Studies, Jefferson College of Health, Roanoke, VA
Certifications:
- Certified Physician Assistant
- Basic Life Support
- Certificate of Advanced Obesity Education
Professional Organizations:
- American Academy of Physician Assistants
- Obesity Medicine Association
Brent Sarauer
PA-C
Brent Sarauer
Certified Physician Assistant (PA-C)
Location:
- Lake Hallie
Training:
- Bachelor of Science, Applied Science, University of Wisconsin-Stout
- Masters Degree in Physician Assistant Studies, Wichita State University, Wichita, KS
Certifications:
- Certified Physician Assistant
- Basic Life Support
Professional Organizations:
- American Academy of Physician Assistants
- Wisconsin Academy of Physician Assistants
Hear Brent on the “Dr. Usher Weighs In” Podcast when you click here.
Carly Scherz
PA-C
Carly Scherz
Certified Physician Assistant (PA-C)
Location:
- Eau Claire
Training:
- Bachelor of Science, Biology and Health Sciences, UW-Eau Claire
- Masters of Health Sciences, Duke University Physician Assistant Program, Durham, NC
Certifications:
- Board Certified Physician Assistant
- Basic Life Support
- FMSCA DOT medical examiner
Professional Organizations:
- American Academy of Physician Assistants
- American Academy of Family Physicians
Hear Carly on the “Dr. Usher Weighs In” Podcast when you click here.
Lori Arndt
PA-C
Lori Arndt
Family Practice Provider
Certified Physician Assistant (PA-C)Locations:
- Eau Claire
- Lake Hallie
Training:
- Bachelor of Science, Biomedical Science, Marquette University, Milwaukee, Wisconsin
- Masters Degree in Physician Assistant Studies, Marquette University, Milwaukee, Wisconsin
Certifications:
- Certified Physician Assistant
- Basic Life Support
- ISTM Certificate of Travel Medicine
Professional Organizations:
- American Academy of Physician Assistants
- Society of Dermatology Physician Assistants
- Wisconsin Academy of Physician Assistants
Hear Lori on the “Dr. Usher Weighs In” Podcast when you click here.
Marissa Talmage
PA-C
Marissa Talmage
Certified Physician Assistant (PA-C)
Location:
- Menomonie
Training:
- Bachelor of Arts, Biology, Saint Mary’s University of Minnesota, Winona, MN
- Masters Degree in Physician Assistant Studies, James Madison University, Harrisonburg, VA
Certifications:
- Board Certified Physician Assistant
- Basic Life Support
- Advanced Cardiac Life Support
- Pediatric Advanced Life Support
- Nexplanon Certification through Organon
Professional Organizations:
- American Academy of Physician Assistants
Hear Marissa on the “Dr. Usher Weighs In” Podcast when you click here.
Sophie Hong
PA-C
Sophie Hong
Certified Physician Assistant (PA-C)
Location:
- Cardinal Healthy
Training:
- Bachelor of Science, Biology, UW-Eau Claire
- Master of Science in Physician Assistant Studies, Bethel University, Saint Paul, MN
Certifications:
- Board Certified Physician Assistant
- Basic Life Support
Professional Organizations:
- American Academy of Physician Assistants
- Wisconsin Academy of Physician Assistants
Hear Sophie on the “Dr. Usher Weighs In” podcast when you click here