Forms
Please ensure all information provided is accurate and up-to-date. If you have any questions or need assistance, feel free to contact us or call us at (352) 875-2226. Thank you for choosing Estella Byrd Whitman Community Health Center as your family’s medical center!
Patient Information
Please arrive 30 minutes prior to your appointment to register. All payments are expected at the time of
service. Alert a staff member of any changes in your information to make sure we have the most updated
information in your account. Make sure you provide proper identification, required documentation, and
insurance cards (if any) at the time of the visit. Minors must always be accompanied by an adult.
