Online Reservations
Call Us: 407-200-2273

COVID-19 FAQs
- COVID Testing FAQs
Location
- Our Locations
Services
- Our Services
For Employers
- Information for Employers
- Employer Resources
Bill Pay
- Pay a Bill
Patient Registration
- Urgent Care Patients
- Primary Care Patients

Institute Menu

COVID-19 FAQs
- COVID Testing FAQs
Location
- Our Locations
Services
- Our Services
For Employers
- Information for Employers
- Employer Resources
Bill Pay
- Pay a Bill
Patient Registration
- Urgent Care Patients
- Primary Care Patients

Online Reservations

Primary Care Patient Registration Paperwork

Save time by completing your patient registration paperwork before you arrive. Please print and complete the following documents for your primary care visit:

Primary Care Patient Registration Form
Communication Authorization Form
Medical Records Release Form

Contact

Call407-200-2273
Contact Us

Explore

Insurance We Accept
Pay a Bill - Florida
Pay a Bill - Kansas
Centra Care Kids
What's Going Around
What's Going Around Sign-Up
Careers
Our Mission
Your Privacy

Social 5 items. To interact with these items, press Control-Option-Shift-Right Arrow

Facebook
Instagram
LinkedIn
Twitter
YouTube

The information on this website is not a substitute for examination, diagnosis, and medical care provided by a licensed and qualified health professional. Please consult your physician before undertaking any form of medical treatment and/or adopting any exercise program or dietary guidelines. If you think you may have a medical emergency, call your physician or 911 immediately. AdventHealth reserves the right to add, remove, or edit content on this page at its sole discretion.