Patient Forms

Please complete the following forms prior to coming into the office. 
There is a form fee for all documents and forms that the office must complete on behalf of the patient. The forms are completed 3 business days after submission. Please complete the parent portion of the forms prior to submitting them to our office.

As with any professional office, our goal is to serve our patients efficiently and effectively. In order to achieve these goals, we request that each patient do their part by cooperating with the policies of our practice regarding insurance and payment.

Participating Health Plans
If you don't see your Insurance carrier below, just call our office to inquire.
 * Aetna
 * AmeriHealth
 * Atlantic Health
 * Blue Card PPO
 * Cigna
 * Federal Employee Plan (FEP)
 * Horizon Blue Cross Blue Shield (NJ)
  * Magnacare

 * Multiplan/PHCS
 * NIPPON Life
 * Oxford
 * Qualcare
 * Tricare
 * UHC Community Plan
 * United Healthcare

Our Philosophy
Care, Dedication and Compassion are the cornerstones of Trinity Pediatrics, Inc. We are committed to providing excellent pediatric care services by promoting the physical, mental and social well-being of our patients. We pride ourselves on creating a warm family friendly environment for you and your children.
Special Services
Trinity Pediatrics offers intense dietary counseling for obese children, Attention Deficit Disorder diagnosis and management and comprehensive asthma evaluation and management.

We also offer removal of minor skin abnormalities in the office.

Get In Touch
2130 Millburn Avenue, Suite C-7,
Maplewood, NJ 07040

Tel:  (973) 843-7149 
Fax. (973) 843-7154 

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