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Holy Trinity Health Release for Confirmation Retreat Class of 2022 501 Cherry wood Road Louisville, KY 40207 (502) 8975207ATTENTION: Form Due Date: Oct. 25, 2021 for Holy Trinity Students / Oct. 24,
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How to fill out holy trinity health release
How to fill out holy trinity health release
01
To fill out the Holy Trinity Health Release form, follow these steps:
02
Start by entering your personal information, such as your full name, date of birth, and contact details.
03
Provide your insurance information, including the name of your insurance company and your policy number.
04
Next, indicate any known allergies or medical conditions that may be relevant for your health history.
05
If applicable, list any medications you are currently taking or any previous surgeries you have undergone.
06
Read and understand the terms and conditions stated in the release form.
07
Sign and date the form to confirm that you have provided accurate information and authorize Holy Trinity Health to access your medical records and provide necessary treatment.
08
Return the completed form to the designated department at Holy Trinity Health.
Who needs holy trinity health release?
01
The Holy Trinity Health release form is required to be filled out by anyone seeking medical services or treatment at Holy Trinity Health. This includes both new and existing patients.
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