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For Patients

At Memorial Hermann, we strive to fit our services around your needs. That's why we offer useful online service tools and information, including:

Registration and Billing
Pre-registrationThis online tool pre-registers for childbirth, any inpatient or outpatient procedure
Patient with LaptopPatient Billing
Use our convenient and secure online form to pay your bill. For more information, you can also call Patient Business Services at 713-448-5502 or e-mail us at patient.billing@memorialhermann.org.
Insurance AffiliatesMemorial Hermann Insurance Affiliates
TIRR Insurance Affiliates
Refer to our lists for insurance provider information.

Release of Patient Health Information

A signed version of the appropriate form below is required, under current state and federal laws that protect your health information, to release medical records. Please mail to the "Release of Information Department" at the facility where you received treatment.

bulletAuthorization Form to Release Patient Information
bulletAuthorization Form to Release Health Information concerning Patient in Alcohol/Drug Abuse or Mental Health Treatment Program

Advance Directives

An advance directive is a legal document that tells your family, friends and health care professionals the care you would like to have if you become unable to make medical decisions. Through advance directives, you can make legally valid decisions about your future medical treatment.

You do not need a lawyer to complete your advance directives. However, you should be aware that each state has its own laws for creating advance directives.

There are three advance directives recognized in Texas:

  • The Texas Medical Power of Attorney appoints someone to speak for you any time you are unable to make your own medical decisions, not only at the end of life. Your attending physician must certify in writing that you are unable to make health care decisions and file the certification in your medical record. Download the form.
  • A living will, officially known in Texas as the Directive to Physicians and Family or Surrogates, describes the kind of medical treatments or life-sustaining treatments you would want if you were seriously or terminally ill. A living will should be signed, dated and witnessed by two people, preferably individuals who know you well but are not related to you and are not your potential heirs or your health care providers. Download the form.
  • The Out-of-Hospital Do Not Resuscitate (DNR) order provides you with the right to withhold or withdraw cardiopulmonary resuscitation (CPR) or other treatments such as defibrillation and artificial ventilation. Download the form.

By creating an advance directive, you are making your preferences about medical care known before you're faced with a serious injury or illness. This will spare your loved ones the stress of making decisions about your care while you are sick. Any person 18 years of age or older can prepare an advance directive.

In order to make your Directive legally binding, you must sign it, or direct another to sign it, in the presence of two witnesses who must also sign the document.

Resources

Chaplain Services
Hospital chaplains are available to assist patients who are lonely or anxious, separated from loved ones or need pastoral counseling.

Home Health Services
Provides patients with the latest health products, equipment and quality care in the privacy of their homes.

International Services
A full spectrum of exceptional services and medical care is available for international patients.


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Find a Physician: 713-222-CARE


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