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.

Smoking Policy

We strongly believe as a health care provider, we hold a responsibility for promoting a safe and healthy environment for all those who visit or work at our hospital. Mercy Health – Urbana Hospital is a tobacco-free campus. Tobacco-free means no tobacco products of any kind may be used or sold on the hospital property.

Requests for Medical Records

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

If you have any questions on how to complete this form, please contact the hospital's medical records department.

Mercy Health — Urbana Hospital
Health Information Management – ROI
904 Scioto Street
Urbana, Ohio 43078
Phone: (937) 484-6161
Email: ROI_Cincinnati_Springfield@mercy.com


Requests for copies of birth certificates should be made to the Ohio Department of Health Vital Statistics or the county health department in which the birth took place.

Please click here for a fee schedule for third party requests of medical records.

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.