For all Memorial Hermann Imaging Center customer service needs, e-mail or call (713) 778-2545 during normal business hours, Monday – Friday 8 a.m. – 5 p.m.
Request Films, CDs and Other Services
Complete the form below to request medical records, including your test images (film or CD). You will be asked to sign an authorization form when your records are released.
Patient Requests
We can handle patient requests for:
- Test reports
- Images (films or CDs)
- Film reprinting for all studies
- Importing images from outside CDs for comparison reads
- Business Office questions
- Scheduling
- Insurance verification
Physician requests
We can handle physician requests for:
- Reports, images, comparison reads or questions regarding reports
- Lab results
- CDs of images
- Importing images from outside CDs for comparison reads
- Film reprinting for all studies
- Updating physician profiles
- Adding physicians to our systems
Authorization to Release Patient Information
You may request your test images and records by phone or fax. Please be prepared to give patient name, date of birth, type of study, physician name and address and date / time needed.
Phone: (713) 778-2545 (option 1 for physicians)
Fax: (713) 778-2577
Clinical Forms
To help expedite your visit, you can print and complete your clinical forms ahead of time. Please be sure to bring all completed forms with you to your appointment, along with:
- Doctor’s order for the exam
- Medical insurance card(s)
- Driver’s license or other identification card
- Form of payment (we accept credit cards)
- Completed clinical forms
Please note: Additional forms, including consent forms, may need to be completed upon arrival.