Hospital Pre-Registration

Thank you for choosing Mercy Health for your healthcare needs. 

Please take a moment to complete your pre-registration. We ask that you do this more than three days prior to your service. On the day of your procedure, please bring your insurance cards and photo ID with you for verification. If you have any questions, please contact our Customer Service Team. We are happy to help you in any way.

To pre-register, please click here.

Medical Records

Thank you for choosing a Mercy Health — Marcum and Wallace Hospital facility to receive your medical care. If you find that you need access to or a copy of your medical records, please print and complete the appropriate form found at the bottom of this page. Mail the completed form to the Mercy Health — Marcum and Wallace Hospital facility where you received the service at the address listed.

If you need help to fill-out the release form, or to speak to someone regarding your request, or to set an appointment time to view your records, please use the hospital contact numbers listed below.

Records are kept off-site so please allow time for processing. A picture ID is required when picking up medical records. If you select to have your medical records mailed to your home or to another location, a copy of your photo ID must be included with the mailed or faxed request.
 
Mercy Health — Marcum and Wallace Hospital
Health Information Management – ROI
60 Mercy Court
Irvine, KY 40336

606-726-2157
HIM_ROI_Kentucky@mercy.com

Authorization/Request Forms

You can request a copy of your medical records, or the medical records of someone you have legal representation over in addition to authorizing records to be sent to another party by completing the form below:

English Form

Spanish Form 

Pricing

Disclaimer: The information provided in the link below is a comprehensive list of charges for each inpatient and outpatient service or item provided by a hospital, also known as a chargemaster. It is not a helpful tool for patients to comparison shop between hospitals or to estimate what health care services are going to cost them out of their own pocket. For more information about the cost of your care, please contact our patient financial services staff at 513-981-6445 or 877-956-3729 (phone menu option #2).

Download our hospital pricing guide to see pricing for procedures, pharmaceuticals and supplies at this hospital.

For more information, please visit our chargemaster FAQ page.