Please enter your name, date of birth, and phone number. If your patient record is not found, please try entering another phone number that your doctor may have on file.

The more information you provide, the more confident we can be in matching your record.

Enter your first name as it appears in your patient records.
Enter your last name as it appears in your patient records.
Use the phone number your doctor's office has on file. If you recently changed numbers, try your previous number.
Minimum year: 1900. On iPhone/iPad: tap the month/year at top-left and use scroll wheels to select.
Enter the email address on file with your doctor's office.
As it appears in your patient records.

Questions about eligibility? We're happy to help. Contact our research team Monday–Friday, 8:00 AM–5:00 PM CT at 214-648-4390 or SPARC@utsouthwestern.edu.