Care Agreement and NoticesCare Agreement • May 15th, 2018
Contract Type FiledMay 15th, 2018This form contains facts you should know about your health care at Mercy Medical Ministry. If there is any part of this form that is unclear you can ask questions about it. At the bottom of the form, there is a place for you to sign your name so that we know you have read this form (or had it read to you) and agree to receive health care from us.