Trinity Healthcare Advanced Practice - Contact Us

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Online Application

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Complete Application

Malpractice Timesheet

Supplemental Documents

3rd Party Documentation for Malpractice Claims

Application Documents Checklist

Health Status

Independent Contractor Agreement

Independent Contractor Declaration

Malpractice Claim History Form

NPI

Precheck Release Form

Release and Authorization

Mailing Address

Trinity Healthcare Advanced Practice

PO Box 6736

Florence, SC 29502

Phone: 866.439.THAP (8427)

Fax: 866.323.0139

info@trinityhap.com