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New Patient Registration Forms - TriCounty
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New Patient Registration Forms


Tri-County Health Centers

Welcome to Tri-County!  In an effort to make your first primary care appointment with us as thorough as possible, please take a moment to review the registration forms.  Forms may be printed and filled out prior to your appointment.  You may mail the forms back to the health center to 1126 Hartford Avenue, Johnston, RI, 02919 or bring them with you to your appointment. 

Thank you for choosing Tri-County Health Centers!  We look forward to participating in your health care.

Please download the appropriate form on the sidebar to the right, print and return.



Tri-County Health Centers are proud participants of the BCBSRI LGBTQ Safe Zone Program.

Services available at:
1126 Hartford Avenue, Johnston, RI 02919
33 Maple Avenue, North Providence, RI 02911

For appointments at either location, contact us at 401-519-1940.  To contact a provider after regular office hours, call 401-519-1940.

New patients welcome!

All residents of the State of Rhode Island are eligible for Health Center services.

Office Hours for Johnston:                                  North Providence:

Monday          8:00 am to 8:00 pm                              Monday          8:00 am to 5:00 pm
Tuesday         8:00 am to 8:00 pm                               Tuesday         8:00 am to 5:00 pm
Wednesday  8:00 am to 8:00 pm                               Wednesday   8:00 am to 5:00 pm
Thursday      8:00 am to 5:00 pm                                Thursday       8:00 am to 8:00 pm
Friday            8:00 am to 5:00 pm                                Friday             8:00 am to 5:00 pm


Tri-County Health Center is recognized as a Patient Centered Medical Home, by the National Committee for Quality Assurance.