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Trinity Medical
  • Call Today: (800) 945-4654
  • Patient Portal
  • Online Bill Pay
  • Request an Appointment
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  • About Us
  • Walk-In Clinic
    • Minor Illnesses & Injuries
    • Wellness & Physicals
    • Vaccinations & Injections
    • Screenings & Monitoring
    • Skin Conditions
    • Obesity Care & Management
    • Pharmacy
  • Housecall Doctors
    • Primary Care
    • Chronic Disease Management
    • Podiatry
    • Coordination of Services
    • Home Health Coordination
    • Hospice
  • Podiatry
  • Insurance & Payment
  • Contact Us

Request an Appointment

We gladly welcome walk-in patients in our clinic, but we also accept appointment requests for both clinic and housecall services.

Please do not use this form if you have an urgent medical problem or you need to reschedule an existing appointment. Instead, contact our office at (800) 945-4654 for clinic services or (219) 750-9497 for housecall services. After you submit your request, our appointment scheduler will respond within 48 hours. See below for forms to complete.  Established patients may log in to the patient portal to request appointments and update forms.

 

Patient Registration Forms

Trinity Medical & Housecall Doctor, PC in Highland, Indiana welcomes you to our practice. Once you have made your initial appointment, you may preregister by downloading, printing, and completing the forms below. Doing so prior to your visit will help speed up the new patient registration process. If you are coming to the clinic, please be sure to bring all forms with you to your first visit.

Downloadable Forms:

  • New Patient Registration
  • Authorization to Treat
  • Medical History
  • Current Medication Log
  • Patient Referral Form

Please note:  It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.

Trinity Medical & Housecall Doctors, PC - walk in clinic - Highland, IN

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 Copyright © · Trinity Medical · All Rights Reserved
9030 Cline Avenue, Highland, IN 46322 | Phone: (800) 945-4654 Fax: (219) 359-3181
iHealthspot Medical Website Design and Medical Marketing by iHealthSpot.com

Trinity Medical & Housecall Doctors, PC is a walk-in clinic that offers a broad range of services including wellness and physicals, care for minor illnesses and injuries, pharmacy services, vaccinations and injections, treatment for common skin conditions, on-site labs, and obesity care and management. In addition, we provide at-home care services such as primary care, podiatry, hospice, and more.

  • Home
  • About Us
  • Walk-In Clinic
    • Minor Illnesses & Injuries
    • Wellness & Physicals
    • Vaccinations & Injections
    • Screenings & Monitoring
    • Skin Conditions
    • Obesity Care & Management
    • Pharmacy
    • Back
  • Housecall Doctors
    • Primary Care
    • Chronic Disease Management
    • Podiatry
    • Coordination of Services
    • Home Health Coordination
    • Hospice
    • Back
  • Podiatry
  • Insurance & Payment
  • Contact Us
  • Request an Appointment
  • Patient Portal
  • Online Bill Pay