Looking for your birth certificate?
If you were born at Blessing Hospital or St. Mary Hospital and need a copy of your birth certificate, please call the Adams County Department of Vital Statistics at (217) 277-2158 or print a request form from their website.

Patient Forms

Filling out healthcare forms prior to a scheduled hospital stay is more convenient for patients. As this section of the website is developed, it will feature forms that can be downloaded and printed at home. Patients can bring their completed forms with them when they register.

Forms currently available:

Advanced Directives
Consent for Treatment of Minors
Medication Record: A simple form to keep track of the medicines you take on a regular basis.

Patients and Visitors

Patient Forms