BCM-Health Information Exchange-Direct Address Inquiry

In order to exchange providers' direct addresses for direct messaging, please complete this questionnaire and we will contact you shortly afterward. For any questions regarding the questions, please contact us directly at fgpqrt@bcm.edu.

Thank you so much!

!!! For urgent patient information request, please contact Baylor College of Medicine directly at 713-798-4951 !!!

* 1. Tell us about your direct address needs, why you would need to exchange health information electronically with us (please select all that applied).

You are referring patients to Baylor College of Medicine, and need to send your patients’ summaries of care electronically to us.

Baylor College of Medicine is referring patients to your practice, and you need us to send the patients’ summaries of care electronically to your practice.

Other (please specify)