New Patient Forms
New patient forms are now accessible through a secure web-portal called OpenCommunicator where patients can submit their information. Just go to the following link:
Enter your net ID and password
Enter your date of birth
Click on Forms (at left)
*Consent for Treatment
*Health History Form
* Insurance Information Page
*Notice of Privacy Practices
*UTHSC Required Immunizations for Students
High Risk Tuberculosis Screening Questionnaire
University Health Services Downloadable Forms
Printable forms, complete them and bring with you on your first visit.
For more information about Advance Directives: click on this link.
Information about what to do in case of various emergencies.
910 Madison Ave. Suite 922
Memphis, Tennessee 38163