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Montgomery County Memorial Hospital

Community A1C Test Registration

Welcome to the Online Community A1C Test Registration. You may pre-register here.
For questions about the A1C Test Draw, please contact Marsha Bierbaum at mbierbaum@mcmh.org or (712)623-7700.
* First Name
  Middle Initial
* Last Name
  Email Address
* Street/Address/Apt. No
* City
* State
* Zip Code
  Phone Number
* Date of Birth
  Gender
  Total Due: $10
  A1C Test Offered at Montgomery County Memorial Hospital Only. Please choose what day and time you will attend. Lab Hours are 8AM-4PM. Wednesday November 1st
Thursday November 2nd
Friday November 3rd
Monday November 6th
Tuesday November 7th
Wednesday November 8th
Thursday November 9th
Friday November 10th
Monday November 13th
Tuesday November 14th
Wednesday November 15th
Thursday November 16th
Friday November 17th
Monday November 20th
Tuesday November 21st
Wednesday November 22nd
Monday November 27th
Tuesday November 28th
Wednesday November 29th
Thursday November 30th
  Time you will attend
  My Healthcare Provider is:
A copy of your lab results will be sent to your provider.
  How did you hear about the MCMH Blood Draw? A MCMH Provider
MCMH Website
Family/Friend
Radio
Newspaper
I've been getting the A1C test for years