Visitor Forms
Visitor Forms
Authorization for Disclosure of Health Records
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.
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.
Patient Authorization for Disclosure of Health Records – ERMC
Patient Authorization for Disclosure of Health Records – ERMC Family Practice & Redicare – Springport Medical Clinic