In order to contribute to the security of medical image, we present in this paper a blind and robust watermarking technique that allows the integration of the electronic patient’s record into a computerized tomography scan. In this approach, a discrete wavelet transform is applied to the image before the integration process, then, a topological reorganization of the coefficients of the LL sub-bands is done by the ZigZag scanning method. The obtained coefficients are then combined to integrate the watermark bits. A hash of the electronic patient record being integrated in the image, the integrity of the watermark can easily be verified. After the evaluation of our approach in terms of invisibility and robustness, the experimental results obtained show that our approach offers excellent imperceptibility (with a PSNR above 70 dB) and very good robustness against several geometric and destructive attacks.