This form is for new patients or patients that have not been seen by a provider in more than two years and is expected to take ten minutes to complete. You will need to complete our Patient Intake Form before your first appointment.
We are a Federally Qualified Health Center (FQHC) organization that began its operations in 1972 in Apopka, Florida. We have voluntarily chosen to be accredited by the prestigious Accreditation Association for Ambulatory Health Care Inc. and are covered under the Federal Tort Claims Act (FTCA). This health center is a Health Center Program grantee under 42 U.S.C. 254b, and a deemed Public Health Service employee under 42 U.S.C. 233(g)-(n).
Developed In Winter Park, FL