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New Patient Registration — Citrus County Rural Health
This quick registration gets you set up as a new patient. It takes about 3–5 minutes. After you submit, a member of our team will call to confirm your appointment.
First Name
*
Last Name
*
Date of Birth
*
Address
*
City
*
State
*
ZIP Code
*
Mobile Phone
*
Home Phone
Email
*
Last 4 of SSN
Optional, but it helps us pull your records from other providers.
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