Trinity Center
  

Forms for New Patients

Woman in Waiting Room

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.

PDF Icon Electronic Health Information Consent Form
PDF Icon Electronic Health Information System Fact Sheet
PDF Icon Patient Demographic Form
PDF Icon Financial Acknowledgement Form
PDF Icon Non-Participating Plans Pre-Payment Acknowledgment Form
PDF Icon Financial Policies
PDF Icon HIPAA Form

Additional forms are available on our Resources for Patients page.

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