Bringing the comforts of home to your bedside
Medical Consent Form
The medical consent form is an authorization signed by parents giving another party consent to make emergency medical decisions in their absence.
Medical Consent Form
Feel free to get a head start by filling out this form before you arrive. Consent for Treatment & Payment
Chaplain and Chapel
The hospital chaplain is available to visit with you as you need or desire. Upon your request, the chaplain will notify your personal pastor, priest, rabbi, or other clergy person about your admission so that he or she can visit you regularly during your stay. The hospital chaplain can be reached at (937) 578-2318 or your nurse can contact the chaplain on your behalf.
The Goedeking Chapel is open 24-hours a day for prayer and meditation. Its doors are open for use by patients, their families, visitors, and staff. The chapel is located in the Morey Center.
Providing superior care and service to each one of our patients and their guests is important to us at Memorial Hospital of Union County. At any point during your stay if you feel we are not living up to this expectation, the Customer Service Department would welcome that feedback so we can make the necessary improvements. We are here to facilitate communication, answer questions, resolve any patient care concerns, and recognize superior service.
Volunteers staff and manage the Memorial Hospital Auxiliary Gift Shop. You may purchase personal care items, dried flower arrangements, gifts, jewelry, toys, greeting cards, candy, magazines, and books. Fresh flower arrangements are also available. All Gift Shop proceeds are donated to the hospital to improve and enhance patient services. The Gift Shop is open Monday through Friday from 9:00 a.m. to 8:00 p.m., Saturdays from 9:00 a.m. to 5:00 p.m. and on Sunday from 1:00 p.m. to 4:00 p.m.
Mail, Gifts and Flowers
Mail, flowers, and gifts are delivered daily to patient rooms by our staff of volunteers. Regulations prohibit live flowers in any ICU room. Mail received at the hospital after your discharge will be forwarded to the address provided on your admission form.
Meals and Food
Complete meals or snacks are available for your family and visitors in the Union Square Cafe from 6:30 a.m. to 6:30 p.m., seven days a week. Vending machines throughout the hospital offer sandwiches, snack foods, candy, and beverages 24-hours a day.
Your meals are prepared according to the diet prescribed by your physician with all food preparation supervised by our registered dietician. You may select meals from the restaurant-style menus delivered to your room each morning.
Sometimes your diet must be restricted in preparation for surgery or certain tests. Low salt, low fat, and low cholesterol diets are among those most commonly ordered by doctors.
Money and Valuables
Please send money, jewelry, and other valuables home with your family. If this is not possible, your nurse will arrange to have valuables stored in the hospital safe. The hospital is not responsible for money, jewelry, clothing, dentures, glasses, or other valuables kept in your room. You may wish to keep a small amount of money for a newspaper, stamps, or a Gift Shop purchase.
Memorial Hospital inpatients will each receive a copy of the local newspaper with their evening meal tray on Monday through Saturday. Additional copies are distributed in many of the department waiting areas. Newspapers may also be purchased outside the Morey Entrance.
Local telephone service is provided in each patient's room, compliments of the Memorial Hospital Auxiliary. For local calls dial 9 for an outside line, followed by the number you wish to call. For long-distance calls dial 9, then 0 to contact the long-distance operator. You may charge long-distance calls to a phone card, credit card, home or business phone, or you can call collect.
Cable television is provided in each room free of charge, compliments of Memorial Hospital. Your TV can be operated from your bed with a handheld control unit.
Free digital health education videos related to your health are available 24-hours a day through the hospital's Learning LInk program. See your in-room literature for more information.
The auxiliary has also provided a portable VCR, available upon request and availability, to view videocassettes. A selection of movies and programs suitable for young children are available. The VCR is available on a first-come, first-serve basis. Ask your nurse for details.
The patient lounge in the Morey Center offers a cheerful setting where patients may relax, watch TV, or read. During warmer months, you may enjoy fresh air on the patio outside the lounge or in the nearby Helen Spurrier Williams Memorial Garden.