DeBakey Education A/V Application

Thank you for choosing the DeBakey Institute for Cardiovascular Education & Training to record or live stream your case or course.

A/V 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 dicet@houstonmethodist.org for more information.

Please take a few minutes to fill out this form so that we know how to best serve you. A member of our A/V team will contact you to discuss your request in more detail.
Contact Information
Select One


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Will your A/V needs be for a case, course or event?


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Case Information
Testing of System 24 hours prior?

Course / Event Information
Is this a recurring event?

A/V Needs
Audio

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Video Inputs






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Live Streaming?

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Would you like the raw footage?

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Do you want an edited version (DVD) of this recording?

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Photography
On-Site Photographer

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Photo Booth

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Consent
Will a patient or patients be a part of the recording, live streaming or photography?

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I acknowledge that, if applicable, it is my responsibility, not the responsibility of the A/V team, to notify the patient and obtain patient consent.
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