Your First Visit & Downloadable Documents

Your First Visit

Thank you for choosing Heart of Florida Health Center as your new medical home.

Making an appointment is easy and convenient. We have one phone number that enables you to make appointments for all our services at all our locations, (352) 732-6599.

Please bring the following to your first appointment:

Driver license or ID card
Insured, insurance card
Uninsured and/or applying for the sliding fee scale, 1 month of most recent proof of household income

We want your experience to be as easy and comfortable as possible. If you have any questions, please feel free to call or email us.

Document Downloads

For your convenience, here are pre-visit forms to prepare you for your first visit with us. You can save time by filling out the patient registration forms listed below.

Patient Registration Form Adults
Patient Registration Form Adults (Spanish)

Patient Registration Form Peds
Patient Registration Form Peds (Spanish)

Minor Authorization for Treatment
Minor Authorization for Treatment (Spanish)

Dental Patient Registration Form Adults
Dental Patient Registration Form Adults (Spanish)

Dental Patient Registration Form Peds
Dental Patient Registration Form Peds (Spanish)

Privacy Practices

Patient Bill of Rights (English and Spanish)

Good Faith Estimate

Keep Your Medicaid Coverage, take the necessary steps.

Medicaid to resume renewal/recertification process!
Medicaid will soon begin unwinding from continuous coverage phase as the Covid-19 pandemic comes to an end.

Click here for more information (English & Spanish)

Marketplace Navigators will be available during
SPECIAL ENROLLMENT

THURSDAY: Main Location – 1:30pm to 3:00pm
Appointments available outside this schedule

Marion County Marketplace Navigator assistance: 352-213-6888
Marion County Spanish Language Navigator assistance: 786-897-2483
General information Marketplace number (healthcare.gov) 1-800-318-2596
Assistance north central Florida 1-386-230-9400

Click here for more information (English & Spanish)

Pay Your Bill Online

Pay your Heart of Florida Health Center bill online through your patient portal/Healow App.
Pay My Bill

RxLocal Pharmacy Refills (Powered by RxLocal)

In-House Pharmacies

We have 3 convenient, low-cost pharmacies, including a drive-thru pharmacy with extended hours.
Please speak to one our staff members with any questions.
Learn more about our Pharmacy

Televisits Appointments

Televisits appointments available Monday–Friday, 5pm-7pm.
Please call to schedule an appointment: (352) 732-6599
Learn more about Telehealth

Referrals and Authorization Request

Referrals and Authorization Request fax: (352) 390-8976