Confidential & Personalized Care
Thank you for your interest in Tria Health! Before you get started on the enrollment form, please have the following information available:
- The current prescriptions, over-the-counter medications and supplements you take.
- Your primary physician’s name and contact information.
It should take you approximately 15-20 minutes to complete. Once you’ve submitted your enrollment form, you will be contacted by a Tria Health Member Advocate to schedule your first appointment. If you have any questions, please call our Tria Help Desk at 1.888.799.8742.
Please note: You will not be able to save this form. You may submit it at any time as long as you’ve completed all required fields. A Tria Health Member Adovcate will follow-up with you to receive any incomplete information.