Admissions & Registration
If your procedure has already been scheduled, or you are
having a baby, you can speed up your registration process
by pre-registering online. To begin the registration process,
please click on the link below. This form needs to
be completed at least two business days or 48 hours prior
to admission or scheduled procedure.
Click here to begin registration.
Please remember that upon your arrival
at Midland Memorial Hospital you will be asked:
- To verify your
registration information
- To present a copy of your insurance
card
- To pay any co-payments/deductibles
prior to service
- To sign authorization forms
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Online Bill Pay
Midland Memorial Hospital is pleased
to offer our patients a convenient and secure way to manage
your hospital account and pay your bills online. This service
is offered to our patients free of charge and is available
24 hours a day, seven days a week. We hope you will find
this a valuable resource for managing your account with us.
If you are having trouble identifying the information needed to register your account online, please click
here.
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Business Office
Welcome to the Midland Memorial Business
Office. Here at MMH, we strive to not only provide the best
healthcare but the best overall experience for our patients
and their loved ones. As such, we've tried to gather some
common "need to know" items
pertaining to our billing process, insurance and questions
that often arise.
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Eligibility Office
Midland
Memorial Hospital
Main Campus
2200 West Illinois Ave- 1st Floor (enter through Business Office)
Midland, TX 79701
(432) 686-5257
Hours of Operation: Monday - Friday, 8 a.m-4:30 p.m.
For the list of documents, click
here.
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Hospital-Based Physicians
Midland Memorial wants you to be well informed about your healthcare coverage. When you access services at a network hospital or facility, you may receive care or services from hospital-based physicians in addition to your primary care or treating physician who will bill you separately from the hospital. Anesthesiologists, radiologists, pathologists and emergency room physicians are examples of hospital based physicians.
In some cases, a hospital-based physician may decide not to participate or contract with the same insurance companies as Midland Memorial Hospital. The following link contains a list of hospital based physicians who have been granted medical staff privileges at Midland Memorial Hospital along with their office phone numbers. As a patient, you may wish to contact applicable provider offices directly to ask questions regarding your insurance and any amounts you may owe as a part of your deductible or co-insurance.
Hospital Based Physicians List
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Medical Records
The purpose of Release of Information is to provide copies of patient records to various requesters (i.e. patients, attorneys, insurance companies, etc.) for varied reasons.
When writing to obtain copies of records, please provide us with the following information:
1. The patient’s name at treatment
2. Patient’s date of birth
3. Patient’s Social Security number
4. The date(s) of treatment
5. Exact information from the date(s) of treatment
6. Where the information should be sent
7. Purpose of request
8. Sign and date the request
9. Contact number
10. Copy of photo ID
Please do not send requests for information or confidential information via e-mail. We cannot honor e-mail requests because a signature is required to release medical information.
The Release of Information will not provide records without a written request by the patient, the parent of a minor patient, or a legal representative. After the request is received, Release of Information should provide an answer in 15 working days. Copies of records are faxed only for emergency medical treatment (i.e. patient is in the Emergency Room or in Labor & Delivery).
There are fees to obtain copies of records. These fees must be paid prior to records being mailed to the requester. When a request is received, Release of Information will send the requester an invoice stating the fee for copies. The fees for copying records are set by the State of Texas and are reviewed for changes annually.
Download the form here and mail your written request to:
Release of Information
ATTN: Medical Records
Midland Memorial Hospital
2200 W. Illinois Ave.
Midland, TX 79701
If you need further information regarding the procedure to request copies of records, please call (432) 685-1600.
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Birth Certificates
The Birth Certificate Office is responsible for the completion of birth certificates of babies born at Midland Memorial Hospital. To obtain copies of birth certificates, parents should visit or call:
Midland County Courthouse
200 W. Wall
Midland, TX 79701
(432) 688-4401
Monday – Friday
8 a.m. to 4:30 p.m.
Parents with:
- Paternity questions should contact the Office of the Attorney General at 800.252.8014.
- Social Security questions should call 800.772.1213
Any questions regarding
the actual completion of the birth certificate for babies
born at Midland Memorial Hospital should be directed to (432)
685-3295.
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What Are Advance Directives?
A living will, health care
proxy and durable power of attorney—are the legal
documents that allow you to give direction to medical
personnel, family, and friends concerning your future
care when you cannot speak for yourself. You do not
need a lawyer in order to complete Advance Directives.
For more information about Advance Directives or to obtain forms, please ask your nurse to contact the social services department.
You may reach the social services department directly by dialing one of the following extensions:
Main Campus - 6616
West Campus - 3542 |
Advance Directives
Patient Services Advance Directives
You have the right to make decisions about your own medical treatment. These decisions become more difficult if, due to illness or a change in mental condition, you are unable to tell your doctor and loved ones what kind of health care treatments you want. That is why it is important for you to make your wishes known in advance.
Here is a brief description of each kind of Directive:
Living Will
A set of instructions documenting your wishes about life-sustaining medical care. It is used if you become terminally ill, incapacitated, or unable to communicate or make decisions. A living will protects your rights to accept or refuse medical care and removes the burden for making decisions from your family, friends, and medical professionals.
Health Care Proxy
A person (agent) you appoint to make your medical decisions if you are unable to do so. Choose someone you know well and trust to represent your preferences. Be sure to discuss this with the person before naming them as your agent. Remember that an agent may have to use their judgment in the event of a medical decision for which your wishes aren’t known.
Durable Power of Attorney
For health care: A legal document that names your health care proxy. Once written, it should be signed, dated, witnessed, notarized, copied, and put into your medical record.
For finances: You may also want to appoint someone to manage your financial affairs when you cannot. A durable power of attorney for finances is a separate legal document from the durable power of attorney for health care. You may choose the same person for both, or choose different people to represent you.
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Patient Advocate
The health and well-being of our
patients is our primary concern, and we will strive to make
your stay with us as pleasant as possible. We encourage you
to request information, offer suggestions and to express
concerns and satisfaction regarding any hospital staff or
service.
An issue can be resolved most promptly
by speaking with your nurse or another health care professional
directly involved with your care. However, if you feel an
issue is not being addressed appropriately, or if you need
additional assistance, please call the Patient Hotline at
(432) 522-CARE or dial extension 2273, and our Patient Advocate
will assist you.
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