Forms

The following forms are provided for your convenience. You can either complete the forms online and print them, or you can print the forms and fill them out by hand. Completed forms may be brought, mailed, or faxed to House of Mercy:

House of Mercy

1409 Clark Street

Des Moines, IA 50314-1964

(515) 643-6598 (fax)

• Intake form (to print and fill out)

• Online Intake form (to complete online and print)

• "What to Bring" list