At Memorial Hermann Surgical Hospital First Colony, we want to ensure that your visit with us is as comfortable and pleasant as possible. The links below will take you to documents for you to review and sign in the comfort of your home prior to your surgery.
Patient Information
Patient Rights and Responsibilities
Notice of Privacy Practices — English
Notice of Privacy Practice — Español
Letter from CEO
Patient Registration Forms
Pre-Surgical Instructions
Pre-surgical Shower Instructions
Pre-Surgical General Instructions
Radiology
Please note: The Privacy Notice, Patient Bill of Rights & Responsibilities, and Advanced Directive —are for your review only. If you need assistance with these forms or completing any of the other forms, please contact our Admitting Department at (281) 243-1000 or you can wait until you come in to pre-register.
Download information about our Patient Portal or access it: Here
The Joint Commission Public Notice
The Joint Commission is an independent, not-for-profit, national body that oversees the safety and quality of health care and other services provided in accredited organizations. Information about accredited organizations may be provided directly to the Joint Commission at 1-800-994-6610. Information regarding accreditation and the accreditation performance of individual organizations can be obtained through the Joint Commission’s Web site. Learn More
Safety or Quality of Care Concerns
Any Patient, Family Member, Visitor, Advocate, or Employee who has concerns about the Safety or Quality of Care provided in this organization, that have not been adequately addressed by the management of this organization, may report their concerns to the Joint Commission or the Texas Department of Health. There will not be any blame or action(s) taken against a person or a group who chooses to inform the Joint Commission or TDSHS of concerns about the Safety or Quality of Care provided in this organization. The contact numbers are listed below.
www.jointcommission.org
E-mail: [email protected]
Fax: Office of Quality Monitoring, 630-792-5636
Mail: Office of Quality Monitoring
The Joint Commission
One Renaissance Blvd.
Oakbrook Terrace, IL, 60181
http://www.dshs.state.tx.us/
E-mail: [email protected]
Phone: 888-973-0022
Mail: Patient Quality Care Unit
Department of State Health Services
1100 West 49th Street
Austin, TX 78756-3199