Patients and Visitors
Patient Forms
If you are a new patient visiting one of our clinics, please take the time to fill out the New Patient Demographic form below. Our goal is to save you valuable time during your visit, so by completing the form before your visit, you can help us help you. We look forward to seeing you in one of our clinics soon.
- Download Notice Health Information Practices
- Download New Patient Demographic Form Set
- Download Minor Patient Demographic Form Set
- Download Workplace Violence Policy
Magnolia Regional Health Center Visitation Guidelines
Welcome to Magnolia Regional Health Center. We are honored that your loved one has chosen MRHC as his or her healthcare provider. Our goal is to provide excellent care to our patients and guests. During your visit to MRHC, please remember that creating a healing environment for your loved one is our priority. Because we care about our patients and guests, we provide you with the following information and guidelines.
Important! View our Visitor Policy page.
Helpful Tips
- Please wash your hands before and after entering a patient’s room.
- If you have recently been sick, please do not visit unless necessary and ask the nurse at the desk for a mask.
- We are a tobacco-free facility. NO TOBACCO USE IS PERMITTED ON OUR CAMPUS. This includes smokeless tobacco, as well as cigars and cigarettes.
- Only one overnight visitor may stay in a patient room.
- Visitors are required to be appropriately dressed at all times, including shirts and shoes.
- Do not wear strong perfumes and lotions.
- Pets are not permitted in patient rooms, except Service Animals.
- Please share any information you consider essential to care for your loved one.
- Speak up if you (1) have questions or concerns; (2) notice significant changes in your or your loved one’s medical condition; (3) do not understand the explanation given to you.
- Chaplains are available to any patient upon request.
- Interpreters are available to any non-English speaking patients upon request.
- Be aware of the quiet hour for your visiting floor, and be respectful.
- Please leave your valuables or personal items at home, such as money, jewelry, and electronic devices. The hospital is not responsible for visitors’ valuables.
- Local phone calls are unlimited from the bedside phone in inpatient rooms. Any long-distance calls must be made to collect, charged to a calling card, or charged to a third-party number.
Special guidelines for MICU & SICU
- Only two guests should visit these areas during approved visiting hours. However, visitors may swap outside the unit to allow others to see the patient. See the visiting hours schedule below for details.
- Each patient has the right to have a family member, friend, or other designated person present for emotional support during their stay unless this person infringes on another’s rights or safety or is medically or therapeutically contraindicated.
- No flowers, plants, personal clothing, blankets, pillows, or linens from home should be taken into the patient rooms.
- Children under 12 should not be present in the intensive care waiting areas.
Notice from DNV
Patients can contact The DNV with a safety concern as follows:
- Online: DNV Healthcare Portal for patient complaints.
- Fax: 281-870-4818
- Mail: DNV Healthcare USA Inc., Attn. Hospital Complaints, 4435 Aicholtz Road, Suite 900, Cincinnati, OH 45245
Reports of patient safety events to The DNV must include the healthcare organization’s name, street address, city, and state.
In evaluating a report, the DNV may share information with the organization that is the report’s subject. However, DNV policy forbids accredited organizations from taking retaliatory actions against employees for reporting safety/quality of care concerns to the DNV.
Patient safety reports can be submitted anonymously and confidentially. However, those who provide their name and contact information enable The DNV to contact them for more information, if necessary, and to confirm how the report is handled.
The DNV also has an automated safety line, 866-496-9647, where you can get computerized instructions on how to file a safety report or concern.
Visiting Hours
If you choose to visit after 9:00 p.m., you must enter through the Emergency Department doors and register with security.
Intensive Care Visiting Hours:
6:00 am – 6:30 am
10:00 am – 11:00 am
2:00 pm – 2:30 pm
5:00 pm – 6:00 pm
8:30 pm – 9:00 pm
Food Services
For Cafeteria Hours, please view our Food & Nutrition Services page.
- Please help to keep our waiting areas and patient rooms neat by placing trash in the garbage cans.
- Guest Trays are available for a nominal fee, so please call ext. 1134 for assistance with ordering.
- Please remember that full meals are not served in our intensive care units; therefore, visitors should eat meals outside the unit.
Vending machines are located throughout the hospital, including in the SICU waiting area, cafeteria, Emergency Department, and Medical Office Building on the basement level.
Contact Information
To Reach Security: Dial 293-1600 | Operator: Dial 293-1000
For additional contact information please view our phone directory.