Welcome to the Mercy Hospital homepage!

We hope you come back soon

This is an example of a simple form:

Hospital form:

Name:

Date:

Reason of visit:

This is an example of a password field:

Hospital Sign-In:

Username:

Password:

This is an example of a text input field:

Hospital fill-out Form:

How you currently feel:

This is an example of a dropdown list:

Pharmacy options:

This is an example of a Checkbox group:

Medical History:

Morphine

Laxatives

Heroin

This is an example of a (radio) Button Group:

Hospital Sign-In:

Morphine

Methanphetamine

Crack