About Mercy

Treatment Consent

During the registration process, you will be asked to sign a General Consent for Treatment.

This form allows Mercy to treat you as a patient. Please read this form carefully. The registration staff will be happy to answer questions.

Please Note: In the event you are not with your child when an emergency situation occurs, your child cannot receive treatment without your  written consent. To ensure immediate medical attention for your child in your absence, complete an Emergency Treatment Authorization for Minors form and leave it with your child’s caregiver.

(515) 247-3121
1111 6th Avenue
Des Moines, Iowa 50314

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