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.

Payments and Insurance Accepted
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


8:30am - 12:00pm
2:00pm - 5:00pm

By Appointment

8:30am - 12:00pm
2:00pm - 6:00pm

8:30am - 12:00pm
2:00pm - 6:00pm

8:30am - 12:00pm
2:00pm - 5:00pm


Citrus Ridge Health Center
115 Lake Davenport Boulevard
Four Corners, FL 33897
(863) 256-5030