Registration

Printer-Friendly Registration Documents

Download our complete 5-page registration package PDF, complete each page, and bring all five to any UTC location to expediate the registration and waiting process!

Or, if you prefer, you may download the individual PDF forms below.

Form 1: Patient Registration Form
Form 2: Medical History and Assessment Form
Form 3: Consent to Treatment
Form 4: Receipt of Privacy Practices Form
Form 5: Non-Covered Release Form

Consent to Treat Minors Form

Privacy Policy