Here are some forms for patients of Trinity Direct Primary Care, PLLC that you might find useful.

New patient forms:
Consider printing these out and bringing  them completed to your first visit.  You may choose to fill these forms out at your first visit, but please arrive about 15 minutes prior to your appointment.  We want to make sure all of your scheduled time is spent on you and your needs and not on these administrative tasks.

Patient Medical History Form: This form is used for all new patients and adult complete physicals to help focus office visits on on the details of life that sometimes get forgotten.

2016 HIPAA form: This form is used for you to tell us how we can contact you, who we can talk to about your medical record, and, for parents, who is authorized to make medical decisions for your children if you are not available.  This form is federally required to be completed by all patients every year.

Release of Information forms:

Patient release of information TO Trinity Medical Associates of Hardin Valley: This form is used by patients to authorize release of their medical records FROM another healthcare professional TO Trinity Medical Associates of Hardin Valley.

Patient Release of information FROM Trinity Medical Associates of Hardin Valley: This form is used by patients to authorize Trinity Medical Associates of Hardin Valley to release their medical records TO another healthcare profession.

Patient release of information TO Trinity Direct of Maryville: This form is used by patients to authorize release of their medical records FROM another healthcare professional TO Trinity Direct of Maryville.

Patient release of information FROM Trinity Direct of Maryville: This form is used by patients to authorize Trinity Direct of Maryville to release their medical records TO another healthcare profession.