Patient Transfer Request - Release of Records
Use this form to authorize the transfer of your medical records from your previous doctor to our practice. Please send this to our office so we can obtain your child's records. Please either drop it off, mail it, or email it to us at TrinityPedsOffice@gmail.com (email is for this form only as our email is not secure). Please do not send us this form without speaking with the office first.
Trinity Pediatrics New Patient Forms
Complete these forms prior to your first office visit and bring them to your first appointment. These will be provided at your first visit if you do not bring them in and you will need to fill them out in the office.
Use this form to authorize the transfer of your medical records from your previous doctor to our practice. Please send this to our office so we can obtain your child's records. Please either drop it off, mail it, or email it to us at TrinityPedsOffice@gmail.com (email is for this form only as our email is not secure). Please do not send us this form without speaking with the office first.
Trinity Pediatrics New Patient Forms
Complete these forms prior to your first office visit and bring them to your first appointment. These will be provided at your first visit if you do not bring them in and you will need to fill them out in the office.