Patient Information

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.

Request Medical Records

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

Mail the completed form to:

Mercy Health - Defiance Hospital
Health Information
1404 East Second St.
Defiance, OH 43512
Phone:
419-785-3994
Fax:
419-782-0219

You may also email us at:  HIM-ROI-Toledo@mercy.com

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.

Visiting Hours

Mercy Health – Defiance Hospital puts patients and families first. We know that family and friends play an important role in overall healing. Our visiting hours are not restricted. Compassionate care is a top priority at Mercy Health – if necessary visitors may be asked to step out of the room so our caregivers can provide that care or limit their stay based on the patient’s condition.