Authorization for Disclosure of Health Records
To download the release form, click here or on the image below:
Consent for a Minor to Receive Treatment
Leaving Town?
You can make sure your child has quick access to medical treatment by signing a Minor Consent Form. If your child needs care while you are away, this form will save valuable time in tracking down a parent/guardian to obtain permission for treatment.
Please know that if your child’s injuries or illness is life-threatening, Eaton Rapids Medical Center may begin treatment prior to your approval.
To download the consent form, click here or on the image below:
Authorization for Proxy Access to Patient Portal
You can use MyERMC to access information for family members and individuals for whom you provide care if given permission by filling out a proxy form.
To download the release form, click here or on the image below: