Request More Information

Thank you for choosing Mercyhealth EMS.

To request additional information:

  • By phone, please call (888) 396-3729
  • Online, please use our patient portal
  • By email, use the form below

Thank you for your feedback, questions, and requests. The more information you can provide, the better we can serve you.

Please note we cannot give you medical or drug advice via email. If you think you may have a medical emergency, call your doctor or 911 immediately. Always seek the advice of a qualified health care provider with any questions you may have regarding a medical condition.

Due to privacy concerns, please do not include the following on the form below:

  • Questions about specific medical conditions or your individual health
  • Questions or messages you wish relayed to your care provider
  • Appointment requests or cancellations

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We would love to hear from you! Please fill out this form and we will get in touch with you shortly.
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Contact Us

Janesville

(608) 756-6182

Lake Geneva

(262) 245-2195

Rockford

(815) 971-6262