Mercy Medical Center Dubuque

Pre-Register for a Hospital Visit

Please read before using the Pre-Registration form

Use the pre-registration form only to pre-register for your surgical/OB visit.
This form is not for Radiology testing (mammograms, etc.).

- Form must be completed at least 72 hours prior to admission.

- On day of admission, bring your insurance cards and photo identification to the Admitting Office.

Go to Pre-Registration Form