Online Patient Pre-Registration Form
If you are having a test or procedure scheduled at UT Medical Center, please fill out the following form in its entirety. Please note there are three sections prior to submitting the form. Completing this form will help speed up your registration process on the date of service. You will still need to sign paperwork and let us make a copy of your insurance and photo ID on date of service.
Online pre-registrations are checked Monday - Friday, 8:00 a.m. - 4:00 p.m. Please allow at least one full business day before your appointment for your pre-registration form to be processed. If you have any questions, please contact the Patient Access Office at (865) 305-9501.