The below forms and education requirements are included in the online eCredentialing application.
Click on each form to review the form. Please do not print and attest the forms. Applicants are required to attest the forms within the eCredentialing application.
Please reach out to the Credentialing Department by email, phone or fax.
Email: enterprise.credentialing@memorialhermann.org
Phone: (713) 338-6464 (select option 3 and then select option 2)
Fax: (713) 338-6580