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University Health Services

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Available Services

Pharmacist Registered Dietitian Occupational Health Massage Therapist Wellness Programs

UT Student Services

UT Student Health Insurance Student Families Student Health Adv. Com. Student Mental Health Graduating Students Sexual Assault Student Assistance Program

UT Employee Health

UT Occ. Health & Safety Info Workers Compensation TB Screening Plan Employee Assistance Program

BCHS Students

UTHSC Residents/Post-Docs

Travel Clinic

Emergency

Physical Health Links

Mental Health Links Preventive Health Links Alternative Medicine Referral Links

Current Health Info

FAQs

Injuries/Exposures

New Patient Forms

Surveys

AAAHC Accreditation

New Patient Forms

Print the forms, complete them and bring with you on your first visit.

Patient Registration Form (71KB PDF)

UHS Authorization (12KB PDF)

UHS HIPAA (158 KB PDF)

Health History (76KB PDF)

 

For Occupational Health Patients:

OSHA Respirator Medical Evaluation Questionnaire (Mandatory) (99KB)

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Contact University Health Services

910 Madison Ave . Suite 922
Memphis, Tennessee 38163

Phone: 901-448-5630
Fax: 901-448-7255

For UHS concerns, please e-mail Dr. Peggy Veeser, Director at pveeser@utmem.edu.

For UTHSC student insurance concerns, please e-mail Jerry Holland at gholland@geraldhollandinsurance.com.

For concerns about UTHSC student mental health or the Student Assistance Program (SAP), please e-mail Christa Deiss at cdeiss@utmem.edu.

Copyright ©2007 The University of Tennessee Health Science Center · Memphis, Tennessee 38163 · Telephone 901-448-5500