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:

http://pnc-portal.uthsc.edu

Enter your net ID and password
Enter your date of birth
Click on Forms (at left)

FORMS AVAILABLE:

*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.

Advance Directives Form
Medical Records Release Forms

For more information about Advance Directives:

http://health.state.tn.us/AdvanceDirectives/index.htm

Appointments

If you are a UTHSC student or employee (coming soon for BCHS students), you may now schedule appointments, exchange messages with UHS staff, complete forms or surveys, check your financial account summary, or review/print immunications through a secure online web-based portal using your NetID and password!

Hours and Location

Contact Us

University Health Services
910 Madison Ave. Suite 922
Memphis, Tennessee 38163
Phone: 901-448-5630
Fax: 901-448-7255

Contact Us