New Patient Forms

For your convenience, Windermere Medical Center provides all registration forms below that need to be completed and submitted prior to scheduling an appointment with one of our providers. Please email your completed Office Policies and Registration Packet to NewPatient@WindermereMedicalCenter.com, or fax to (407) 801-6355. In the subject line, please enter Your Name/New Patient Paperwork.

One of our dedicated Front Desk staff will contact you within 2 business days to schedule your appointment.

Internal Medicine

After reading the Windermere Medical Center Office Policies, please print and complete the WMC Registration Packet. Be sure to bring a printed copy of the completed forms with you, when you come in for your appointment.

Office Policies
WMC Registration Packet

Dermatology

Our goal at Windermere Medical Center is to provide and maintain an excellent physician-patient relationship. Informing you in advance of our financial policy for Dermatology services allows us to maintain a good flow of communication and run an efficient medical practice.

Office Policies
Dermatology History Checklist

Pediatrics

All documents, including the Office Policies, and your child’s vaccine records, must be sent to our New Patient email or fax number. Once completed forms are recieved, your child will be registered, and one of our dedicated Medical Assistants will contact you within 2 business days to schedule your child’s appointment.

Office Policies
WMC Pediatric Health History
WMC Consent to Treat

Motor Accident / Personal Injury

Have you been injured in an automobile accident? Complete the WMC Office Policies and the applicable form(s) below. You may bring them with you to the Walk-in Clinic to be seen on the same day without an appointment.

Office Policies
Personal Injury-Motor Vehicle Accident Form
WMC Auto Accident Information

Chiropractic

On the job injuries or every day back and neck pain can receive relief with the help of chiropractic care. Please complete the WMC Office Policies and Chiro Registration Packet, and email your completed forms to Chiro@WindermereMedicalCenter.com, or fax them to (407) 986-9679. In the subject line, please enter Your Name/New Chiro Patient Paperwork. Our dedicated Chiro Front Desk staff will contact you within 2 business days to schedule your appointment.

Office Policies
Chiro Registration Packet

Our Providers
Patient Resources