Urgent Care Hours 
(563) Medical Treatment Authorization for Minor Form
Life happens. Sometimes you may need to have someone else bring your child in for their medical appointment. Plan ahead and be ready for this.
Complete the Authorization Form
Return this form to the RMC Health Information Management Department.
Mon-Fri │ 8AM-4:30PM
PO Box 359, Manchester, IA 52057
medicalrecords@regmedctr.org