Forms below can be downloaded by RIGHT CLICKING the appropriate link and saving it to your computer. Please print it, fill it out and then either bring it by the office, mail, fax, or scan and email to firstname.lastname@example.org
If you are a patient that was seen at the UT MARC clinic, please download this form:
If you are a patient that was NOT seen at the UT MARC clinic, please download this form:
If you are a new patient, please download, print and fill out the “Sage Form Packet”:
(Right Click, and select “save link as” to download and save to your computer.)
If you are a member of the Personalized Healthcare Program with Sage and are NOT receiving the emails, please click on the link below and fill out the form. It is important that we are able to contact members through email to provide important healthcare information. This information will include our newsletter, and community information such as Covid vaccination information. It will not include your personal health record information.
Please click below to sign up: