These notices describe how medical information about you may be used and disclosed and how you can get access to this information. Please review the notices carefully. Use Adobe Acrobat Reader to view and print notices.
- Patient Release of Information Form for Mercy Fitzgerald Hospital, Mercy Hospital of Philadelphia, Mercy Suburban Hospital, Nazareth Hospital, [PDF, 15K]
- Mercy Home Health Services Patient Release of Information Form, [PDF, 97K]
- Authorization to disclose HIV information, [PDF, 68K]
- Authorization to release mental health records, [PDF, 68K]
- Authorization to disclose drug and alcohol information, [PDF, 68K]