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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.