Telehealth Genetic Counseling Appointment Request Form

Patient Information

Appointment Information

Insurance Information

The information we collect from the online form is used only for appointment scheduling purposes. Any follow up phone calls or email communications will be related to your care.

You and UT Physicians or any of its health care providers do not have a patient-provider relationship.

In addition, information provided on the website or any response to you is not and cannot be considered medical advice or treatment.