DeBakey CV Education Studio Request

Thank you for your interest in Houston Methodist DeBakey CV Education. Please complete this form with as much information as you can so we will better understand your request. Upon receiving your request, we will contact you within two business days to discuss your needs in more detail.

Video production needs are free to members of the Houston Methodist DeBakey Heart & Vascular Center (HMDHVC). Fee-for-service options are available to those outside of the HMDHVC. You can contact us at debakeycvedu@houstonmethodist.org for more information.

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Contact Information

Organization name * Primary contact first name * Primary contact last name * Primary contact title Address 1 * Address 2 City * State * AK AL AR AZ CA CO CT DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Postal code * Primary contact email * Primary contact office phone * Primary contact cell phone

Event Details

Event title * Event description * Event specialty * Cardiac anesthesiology Cardiac surgery Cardiology Vascular surgery Other Please specify the other event specialty Requested event date (1st choice) * Requested time range (this is used to determine full or half-day charges) * Requested event date (2nd choice) Requested time range for 2nd choice date

Space and Services

Space (Check all that apply) Studio A (includes green room and equipment) Studio B (includes green room and equipment) Green room only No space needed Pre-Production Services (Check all that apply) Writer Producer Graphics design Custom desk signage Special requests Please describe your special request Production Services (Check all that apply) Live video conference - Feed from HMH OR to internal HMH space (requires staff to set up and operate A/V equipment to ensure functionality of feed within the hospital) Live video conference - Feed from HMH OR to external space (requires staff to set up and operate A/V equipment to ensure functionality of feed within the hospital) Recording of lab procedures and/or simulation Video camera package A (1 camera with director of photography; includes lights, sound and media) Video camera package B (one or more additional cameras with operators) Video camera package C (no operator - equipment and set up only) Event recording only (recording cart with engineer/operator; also includes multiple inputs, AJA decks, 4 wireless mics, media & storage, and connectivity) Event recording and live broadcast (Livestream recording cart with technical director; Livestream studio, multiple inputs, AJA decks, 4 wireless mics, media & storage, and connectivity) Hair/makeup artist Teleprompter Green screen Webcast - audience polling system (use of system to receive real-time audience feedback; includes use of polling technology during event, collecting and loading of questions from speaker in advance and delivery of poll results post conference.) Webcast - Livestream chat moderation (designated staff assigned to monitor and converse with online users throughout live event; includes receiving and relaying questions and comments during event) Post-production Services (Check all that apply) Editing - Premier Pro (includes basic graphics and audio mixing) Motion graphics - 2D animation for after effects Media conversion - encoding, transcoding and exporting Graphics design - post graphics design Professional voiceover Stock music Photography services (Check all that apply) Head shots Group shots Advanced editing for photos Photo booth (not staffed, includes props) Catering services (Check all that apply) Breakfast Mid-morning snacks Lunch Mid-afternoon snacks Dinner Other Resource Requests (Check all that apply) Group dinner reservations Ground transportation Group hotel accommodations

Billing Contact

Is billing contact information different from the primary contact information? * Yes No Department cost center (internal requests only) Billing contact first name * Billing contact last name * Billing contact email * Billing contact phone * Billing organization name * Is billing address different from the primary contact address? * Yes No Billing Address 1 * Billing Address 2 Billing City * Billing State * AK AL AR AZ CA CO CT DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Billing Postal code *

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