The Memorial Hermann Release of Information Department processes requests for protected health information.
|Hours of operation:||Monday through Friday
8:00 a.m. to 4:30 p.m.
|Phone number:||(713) 867-4335|
|Mailing address:||Memorial Hermann Release of Information
7737 SWF C94
Houston, Texas 77074
|Physical address:||909 Frostwood Suite 2.205
Houston, Texas 77024
Memorial Hermann Health System has several joint venture partnerships with other health care providers for which Memorial Hermann is not custodian of their protected health information. In such instances, requests for protected health information should be directed to that facility.
Patients can complete:
Memorial Hermann will respond to your request within 15 days of receipt. A cost-based fee, including only the cost of labor for the production of the information requested and supplies for creating the information, along with possible postage, may be assessed.
Many affiliated physicians at Memorial Hermann have access to your health information through the electronic medical record. Simply ask your health care provider to review your medical records and imaging studies online.
For physicians or health care facilities not affiliated with Memorial Hermann, you can request that we transfer your medical records by completing the form below.
In addition, your physician can also ask that your health information be sent to their office by requesting your medical records on his/her office letterhead and faxing back to the Release of Information Department.
A patient has the right to request an amendment to information contained within his/her medical record. Complete the form: Request to Amendment of Protected Health Information.
You have the right to receive an accounting of disclosures of protected health information made by Memorial Hermann in the six years prior to the date on which the accounting is requested. Complete the form: Request for Accounting of Disclosures.
When requesting medical records acting as the medical power of attorney, we will ask that you supply a copy of the medical power of attorney as well as the physician statement citing that the patient is unable to make medical decisions.
You may complete one of our authorization forms listed below, and give this form to the third party requestor to mail to Memorial Hermann with a cover letter.