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WELCOME TO THE PATIENT FORMS DOWNLOAD CENTER.

Below you will find patient forms which are available for you to download and print. The documents are available for you in PDF format. You will need Adobe Acrobat Reader to view this files. The FREE Acrobat Reader application can be downloaded at: http://www.adobe.com/products/acrobat/readstep.html

Click on the file names below to begin downloading.

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    Mercy Medical Center | 1320 Mercy Drive NW, Canton, OH 44708 | info@cantonmercy.org
    Contact Us | Careers | Privacy Policy | Copyright © 2017 Mercy Medical Center
    Appointment Request
    Please call 330-588-4676 between 8 am and 4:30 pm, Monday through Friday.
    Appointment Request
    Please call 330-489-1362 to schedule a Mercy Primary Care appointment.
    Schedule Appointment
    Please call 330-489-1362 to schedule a Mercy Primary Care Telehealth visit.
    Schedule Appointment
    Please call 330-489-1362 to schedule a Mercy Primary Care Telehealth visit.
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    Schedule Appointment
    To request an appointment with Mercy Urogynecology, please call 330-489-1379
    Contact Mercy Weight Management
    Please call 330-588-4854 to contact Mercy Weight Management.

    Attention hospital visitors:

    Mercy Temporarily Stops ALL Hospital Visitation (Effective November 12th)

    The ongoing safety of patients, caregivers and our communities remains our top priority. These steps are intended to keep our caregivers and patients as safe as possible while also recognizing the value visitors bring to patients.

    Effective Thursday, November 12, Mercy is temporarily stopping all hospital visitation until further notice.
    Mercy Medical Center is still allowing one support person for our maternity patients. That one support person must be the same person throughout the stay. Support person can come and go as needed but cannot be switched. (Exceptions will be made on a case-by-case basis, such as end of life/critical patient situations).
    For Mercy STATCAREs, physician practices, and outpatient locations, patients are asked to come to appointments alone.
    Medical Center recognizes that interacting with family and friends can be helpful to the healing process and strongly encourages everyone to utilize other forms of support for their loved ones, such as phone calls and video chats on cell phones or other mobile devices. (Revised November 11, 2020)