New Patient Registration Form

New Patient

List of what to bring to your first appointment

• Insurance Card
• Form of Payment
• Registration Forms
• Medication List
• Previous Doctor Information
• Names of Specialists

Family Medical and Wellness Center of The Palm Beaches is pleased to announce our new complimentary patient web portal. You will be able to:

• Communicate with our office via secure messaging
• Have access 24/7 to your medical file in our office over the internet
• Request referrals, appointments and prescriptions
• Provide caregivers, specialists and family member's access to your records

http://myfmwcpatientportal.myupdox.com
*A valid email address is required.

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