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 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 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 Allen Hospital

200 W Lorain St
Oberlin, OH 44074

Phone: (440) 775-4072

Medical Record Request Forms

Mercy maintains adult medical records for 10 years from the date of service. Records for Minors are maintained until Age 20, but at least for 10 years.

You can request a copy of your medical records, or the medical records of someone you have legal representation over, by filling out the form below:

English Form

Spanish Form

To have records sent to another party (physician, attorney, your spouse or another family member) use this form:

English Form

Spanish Form