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Forms & Documents

We want to make your visit with us as smooth and efficient as possible. That's why we've made our patient forms available to you online.

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Patient Forms

By clicking on the links below, you can download and print out the forms you need to fill out before your appointment. This will save you time and help us to better serve you when you arrive.

Please select the appropriate form based on the type of visit you will be having:

New Patient Registration Form

Update of Patient Information

Authorization to Request Medical Records

Request for Release of Medical Records

Once you've downloaded and completed the forms, please bring them with you to your appointment. If you have any questions or need assistance, please don't hesitate to contact us.

Thank you for choosing Premier Family Health and we look forward to seeing you soon!

1037 S State Rd 7 #211, Wellington, FL 33414

(561) 798-3030

Fax: (561) 798-8242

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