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 two business days to schedule your appointment.

Internal Medicine

Please print and complete the WMC Registration and Office Policies. You may email your forms to NewPatient@WindermereMedicalCenter.com, or fax them to (407) 801-6355.

2017 Registration and Policies

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.

Dermatology Financial Policy and Patient History

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 two business days to schedule your child’s appointment.

2017 Pediatric Registration and Policies

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.

2017 Registration and 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 Chiro Registration and Policies, 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 two business days to schedule your appointment.

2017 Chiro Registration and Policies

Walk-in Care

At Windermere Medical Center, we specialize in the treatment of minor illnesses and injuries for patients of all ages with our Walk-in Care facility. Before your walk-in visit, please complete the forms below.

2017 Registration and Policies
Personal Injury-Motor Vehicle Accident Form (If applicable)
WMC Auto Accident Information 
(If applicable)

Our Providers
Patient Resources