New Patient Information

New Patient Forms for UT Health East Texas clinics

Financial Agreement for Professional Services

Acknowledgment of Privacy Practices

Financial Policy

Patient Health Questionnaire

Patient Care Policy

Patient Registration Form

Privacy Practice (English)

Privacy Practice (Spanish)

New Patient Forms for UT Health North Campus Tyler clinics

Authorization to Disclose PHI to Family, Relatives, and Friends

Authorization for Medical Treatment of Minors

Patient Portal Enrollment

Demographics Form

Treatment Authorization and Tems