PACS Password Request

By completing this form, you are agreeing to the following:

  • To keep and maintain confidential all information and records concerning patient(s) to which I may have access.
  • Only access information and studies on patients who are in my care.
  • I am solely and fully accountable for any information entered in to the system under my password.
  • I understand that Mercy Health System may, for any reason, amend the requirements for access or otherwise terminate my access to patient information and studies.
* Denotes required fields
* Mercy Affiliation Please select at least one
The following are additional methods of contact. These methods of contact will only be used to notify users if there is a PACS emergency such as an unscheduled shutdown.