Pre-Registration Form


Pre-registering for your hospital visit at MercyOne offers several key benefits. It saves you time by streamlining the check-in process, reduces paperwork on the day of your appointment, and ensures your insurance and personal information are verified in advance. 

Once the form is submitted, you'll receive an email that your registration has been completed. The email will include a link to a secure Web site where you can check registration status and ask follow-up questions.

By Phone

If you prefer to speak to a representative by phone, call the numbers below:

To pre-register by phone:

MercyOne Genesis Pre-registration: 563-421-6600

To reschedule your visit:

MercyOne Genesis Centralized Scheduling: 563-421-3200