PATIENT PAPERWORK

NEW PATIENT PAPERWORK

Citrus Ridge Health Center offers our patient form(s) online so they can be completed in the convenience of your own home or office.

All forms are PDF files. You will need AdobeReader® to view them.
If you do not already have AdobeReader® installed on your computer, Click Here to download.
Download the necessary form(s), print them out and fill in the required information.
Fax us your printed and completed form(s) or bring them with you to your appointment.

NEW PATIENT PAPERWORK

At Citrus Ridge Health Centers we accept most insurance. Please have you card ready when making your appointment so be can better serve you. If you have questions, do not hesitate to contact us!

Medicare
Medicaid
BCBS
Cigna
Humana
Aetna
Coventy
Multi Plan
Tricare
VA

PAYMENTS WE ACCEPT

Check
Cash
Care Credit - 0% interest financing
Visa, Mastercard, Discover

LISTEN TO WHAT OUR PATIENTS HAVE TO SAY ABOUT OUR CARE

Ready to Take Action?

The patient and any other person responsible for payment has a right to refuse to pay, cancel payment or be reimbursed for payment for any other service examination or treatment performed as a result of and within 72 hours of responding to the advertisement for the free, Discounted fee or reduced fee service, examination or treatment. A $350 value. May not be valid with certain insurance. Offer only valid for new patients. Dr Scott Barnhart DC.

HEALTHCARE DISCLAIMER

The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purpose only. The purpose of this website is to promote broad consumer understanding and knowledge of various health topics. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website.