Memorial Hermann Fax Numbers for Medical Records

Imaging publishes a fax number. General records do not

Memorial Hermann's Release of Information department publishes hours, a phone number, and two addresses, and no submission fax. Requests go to Memorial Hermann Release of Information, 7737 Southwest Freeway, C94, Houston, Texas 77074, or in person at 930 Frostwood, Suite 1.103. The department answers on the phone number published on that page, Monday through Friday, 8:00 a.m. to 4:00 p.m.

Imaging is different. For records that include test images on film or CD, Memorial Hermann asks you to complete the imaging form and fax or email it, at (713) 778-2577 or to its outpatient imaging customer service address. The instruction asks that the cover be marked “Attention: Request for Protected Health Information.”

Memorial Hermann responds to a records request within 15 days of receipt, and may charge a cost-based fee covering labor, supplies, and postage.

Some Memorial Hermann locations hold their own records

Worth checking before you send anything. Memorial Hermann states that it has joint venture partnerships with other health care providers for which it is not the custodian of the records, and names its surgery centers and Memorial Hermann-GoHealth Urgent Care locations. A request for records from one of those goes to that facility, not to Memorial Hermann's Release of Information department.

The practical test: if the bill came from the facility rather than from Memorial Hermann Health System, the facility probably holds the chart.

What Memorial Hermann patients send

The documents that travel this way carry a signature:

• The Patient Right to Access: Request for Medical Records form, when you want your own records
• The Authorization to Release Patient Information form, when records go to a third party. Memorial Hermann asks that you give this form to the requester to mail in with a cover letter.
• The Patient Request to Have Medical Records Transferred to Another Health Care Provider form, when a non-affiliated clinic needs your history
• The imaging request form, for films, CDs, and test images
• A request for an amendment to your record, or for an accounting of disclosures

Memorial Hermann accepts an electronic signature if it comes from a signature program with a valid signature ID, or carries a statement of intent that the electronic signature has the full force of a manual one. A request acting as medical power of attorney also needs the power of attorney document and a physician statement that the patient cannot make medical decisions.

Verify the number before you send

The forms carry your name, date of birth, and dates of service. Confirm the destination first:

• Use the number printed on the Memorial Hermann form you downloaded. The imaging form names its own destination.
• For anything other than imaging, call the Release of Information phone number published on Memorial Hermann's records page and ask whether the department will take your form by fax before you send it. The published route is mail.
• If your care was at a surgery center or a GoHealth urgent care location, ask that facility for its own records contact.
• Do not use a number from a third-party directory. Memorial Hermann publishes what it accepts, and the published version is the one to trust.

How to fax Memorial Hermann without a fax machine

Create a free FaxTerra account with an email address, upload the signed form as a PDF or as photos taken with your phone, enter the Memorial Hermann fax number, and send. A delivery confirmation arrives by email, worth keeping since the department does not acknowledge receipt separately.

A form plus an ID copy sends free within your monthly free pages. Longer packets are covered by a one-time credit pack from about 10¢ a page. See how to send a fax for accepted files and page limits, faxing medical records for the wider process, and the Mercy guide for a system that publishes a fax number for every one of its Health Information Management offices.