Forms for New Patients

Visiting NYU Langone Trinity Center for the first time?

Printing out and completing the below registration forms in advance of your first office visit will help us keep your waiting time to a minimum.

As an added convenience, our patient demographic forms may now be completed by entering/typing the text into the required fields.  Please enter text, print out the completed form, sign the document and bring with you to your scheduled appointment.

	Electronic Health Information Consent Form
	Electronic Health Information System Fact Sheet
	Patient Demographic Form
	Financial Acknowledgement Form
	Non-Participating Plans Pre-Payment Acknowledgment Form
	Financial Policies
	HIPAA Form
	Pharmacy/Lab Information
	HIPAA Consent Form
	FAQ: Privacy and Security With Epic

---

Additional forms are available on our Resources for Patients page.

To view the form, you may need to Download Adobe Reader.