WCI Health Care Network Forms

• The University of Texas System Administration
• The University of Texas at Arlington
• The University of Texas at Austin
• The University of Texas at Brownsville
• The University of Texas at Dallas
• The University of Texas at El Paso
• The University of Texas Pan American
• The University of Texas of the Permian Basin
• The University of Texas Rio Grande Valley
• The University of Texas at San Antonio
  
• The University of Texas at Tyler
• The University of Texas Southwestern Medical Center
• The University of Texas Medical Branch at Galveston
• The University of Texas Health Science Center at Houston
• The University of Texas Health Science Center at San Antonio
• The University of Texas M.D. Anderson Cancer Center
• The University of Texas Health Science Center at Tyler

• HCN Employee Handbook
• HCN Notice of Network Requirements
• HCN Network FAQ
• Provider Search and Network Service Areas
  

Other Languages

Vietnamese

Employee Handbook
Sổ Tay Nhân Viên Hệ Thống Đại Học Texas

Notice of Network Requirements
Thông Báo Các Yêu Cầu Mạng Lưới dành cho Hệ Thống Đại Học Texas

Acknowledgement Form
Mẫu Đơn Xác Nhận

Forms

The forms above are provided by The University of Texas System and Injury Management Organization, Inc. Please contact your respective University of Texas System (UT System) Workers' Compensation Insurance (WCI) Representative before completing any forms. All forms utilized by UT System Institutions contain all necessary information and questions required by TDI/DWC .

Questions

For more information regarding Workers' Compensation Insurance forms, refer to your respective UT System WCI Representative , the UT System WCI Office or TDI/DWC.