Patient Forms at Triad Primary Care in Greensboro, NC

Access and complete patient forms easily at Triad Primary Care in Greensboro, NC, to streamline your visit. For more information, contact us or book an appointment online. We are conveniently located at 1309 Lees Chapel Rd., Greensboro, NC 27455.

Your New Patient Forms should be completed online before your first appointment. Completing these forms prior to your arrival will maximize the amount of quality time spent with your provider and decrease your overall time spent in the office.

Patient Information Form

Please complete this patient information form with your information, and we will contact you shortly.

FILL OUT DIGITALLY BY CLICKING HERE

DOWNLOAD, COMPLETE, AND PRINT FORM AT HOME
CLICK HERE

Health Screening Form

Please complete this health screening form with your information, and we will contact you shortly.

FILL OUT DIGITALLY BY CLICKING HERE

Designated Party Release Form

Please complete this designated party release form with your information, and we will contact you shortly.

FILL OUT DIGITALLY BY CLICKING HERE

Financial Policy Form

Please complete this financial policy form with your information, and we will contact you shortly.

FILL OUT DIGITALLY BY CLICKING HERE

HIPAA Privacy Authorization Form

Please complete this HIPAA privacy authorization form with your information, and we will contact you shortly.

FILL OUT DIGITALLY BY CLICKING HERE

TPC Medical Information Intake Form

Please complete this TPC medical information intake form with your information, and we will contact you shortly.

FILL OUT DIGITALLY BY CLICKING HERE

• Patient Information Form
• Health Screening Form
• Designated Party Release Form
• Financial Policy Form
• HIPAA Privacy Authorization Form
• TPC Medical Information Intake Form
• Patient Information Forms (PDF version)

We look forward to seeing you soon here at Triad Primary Care. Give us a call if you have any questions.