This form is specifically for existing patients of Citrus Cardiology Consultants who do not currently have login information for the patient portal. If you are an existing patient and need to gain access, please complete this form.
If you already possess your login credentials for the patient portal, you do not need to use this form. Instead, you should go directly to the patient portal to log in using your existing information.
To request access to the patient portal, you will need to provide your first name, last name, email address, phone number, and select your doctor from the provided list on the form.
No, this form is solely for requesting access to the Patient Portal. Once you have successfully gained access to the portal, you will be able to address any medical questions or concerns directly with your doctor through that platform.