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AdventHealth Centra Care

AdventHealth Centra Care

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      • Brevard - Health First | AdventHealth Centra Care
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      • Service Authorization Form
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      • Bill Pay - Kansas
  • Bill Pay
    • Pay a Bill
      • Florida Bill Pay
      • Kansas Bill Pay
      • North Carolina Bill pay
  • Patient Registration
    • Urgent Care Patients
    • Primary Care Patients

Institute Menu

  • COVID-19 Testing
    • COVID-19 Information
      • Florida COVID-19 Testing Information
      • Kansas COVID-19 Testing Information
      • North Carolina COVID-19 Testing Information
  • Location
    • Our Locations
      • Central Florida
      • Tampa
      • Kansas
      • North Carolina
      • Brevard - Health First | AdventHealth Centra Care
  • Services
    • Our Services
      • Urgent Care Services
      • Primary Care
      • Orthopedic Care
      • Pediatric Care
  • For Employers
    • Information for Employers
      • Occupational Health Services
      • Specialty Services
      • Drug Testing Services
      • MRO Services
      • On-Site Services
      • Workplace Injuries
    • Employer Resources
      • COVID-19 Safety For Businesses
      • Employer Portal Login
      • MRO Services Login
      • Service Authorization Form
      • Bill Pay - Florida
      • Bill Pay - Kansas
  • Bill Pay
    • Pay a Bill
      • Florida Bill Pay
      • Kansas Bill Pay
      • North Carolina Bill pay
  • Patient Registration
    • Urgent Care Patients
    • Primary Care Patients
  • Online Reservations
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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

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  • Pay a Bill - Kansas
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