Patient Forms

Thank you for selecting Premier Family Health & Wellness in Wellington, Florida. Please call (561) 798-3030 to make an appointment at Premier Family Health & Wellness or (561) 798-8300 to make an appointment at Premier Center for Healthy Aging or request an appointment online. Appointments are not necessary at Premier Urgent Care.

Once you have made your initial appointment, you can pre-register by clicking on the links for New Patient Forms below. Simply download, print, and complete the forms prior to your arrival. Doing so will help speed up the new patient registration process at your first visit.

Downloadable Patient Registration Forms:

• New Patient Information Form (PDF)
• Existing Patient Update Information Form (PDF)
• Medical Record Release Form (PDF)
  For Premier to acquire records from another doctor or hospital.
• COVID-19 Vaccine Consent and Release Form (PDF) 
  For use when Vaccine Services become available to general public. At this time, Vaccines are not being offered by Premier and no further information is available as to when this may change.