UTMB CareLink

UTMB CareLink Add / Remove Users Request

Use this form to add or inactivate users. To update other account information, including changing site administrator or privacy contact, please use the Update Account Information Request Form.

Otherwise, select the purpose of this request:

Update Users
First Name Last Name
Email Phone
Job Title
License  IF PHYSICIAN Date of Birth   IF PHYSICIAN
NPI#  IF PHYSICIAN


First Name

Last Name
Email Phone
Job Title
License  IF PHYSICIAN Date of Birth   IF PHYSICIAN
NPI#  IF PHYSICIAN


First Name

Last Name
Email Phone
Job Title
License  IF PHYSICIAN Date of Birth   IF PHYSICIAN
NPI#  IF PHYSICIAN


First Name

Last Name
Email Phone
Job Title
License  IF PHYSICIAN Date of Birth   IF PHYSICIAN
NPI#  IF PHYSICIAN