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Center for Faith Health Ministries
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Dignity Health Arizona
Golden Thread of Compassionate Care
Sponsorship Request Application
Make your admission to the hospital much easier by pre-registering, or by calling 480.728.7301. This gives us time to gather important information about you before you arrive at the hospital. You can register online, by mail, phone at at the hospital.
Print (Please print the form, complete the information and return it by fax or bring it with you):
Please note that when you arrive at the facility, you will still be required to provide your identification, finalize financial arrangements and sign a few forms before going to the department.
When you arrive at Mercy Gilbert, located at 3555 S. Val Vista Drive, Gilbert, AZ 85297, follow the signs for the Emergency Room entrance. Once you enter the Emergency Room the nurse at the admitting desk will make arrangements for you to go to triage in the Lund Family Birth Center. In triage you will have an initial assessment which may include fetal monitoring to determine if you are in labor. Depending on your condition you will be admitted for delivery or you may receive instructions to come back to the hospital once your labor has progressed.
Knowing what to bring ahead of time can make your trip to the hospital less stressful and more comfortable. Our list of items to pack will help you prepare.
Before you go home from the hospital you will need to complete the forms to receive your baby's birth certificate and social security card. This fact sheet will help you gather the necessary information needed to properly complete those forms.
For questions or concerns about your portion of the hospital bill, please contact Billing Office at 855.892.2400 or via email at [email protected]. If you need Payment Assistance Programs such as AHCCCS/Arizona Department of Economic Security or government assistance programs, please call 855.432.7587.
If you have any questions regarding registration, please contact our birth registrars at 480.728.7301. Monday through Friday 6 a.m. to 2:30 p.m.