Paperwork/Downloads

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We are currently accepting new patients! If you would like to establish, please send in your paperwork and we will call you to schedule, typically we call on Monday afternoons! 

GOOD NEWS: We are able to see new or established patients in our Fort Myers office within 1 to 2 days. 

BUT ... Please be advised, there is usually a longer wait time in our Bonita Office, 

depending on the time of year, for your first visit. 

Once established, your wait time will be much shorter. 

For urgent matters, please go to an Urgent Care facility in the meantime.

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BELOW ARE OUR NEW PATIENT REGISTRATION FORMS.

IMPORTANT:

Dr. Williamitis is NOT a Workmen's Comp physician, but does see all patients injured in Motor Vehicle Accidents.

We will need the forms emailed back or dropped off before we can make your appointment.

Along with this paperwork you will need a copy of your driver's license or ID as well as your insurance card, or indicate you are a "self-pay" patient if you are not covered by insurance. 

Please bring these to your first office visit and provide them upon check in at the front desk.

If you don't have access to a fax machine, you may send paperwork to patientrecords.awmd@gmail.com.

If there are any current medications you are taking please provide a list of them or bring your prescription bottles to your appointment.

Please arrive 5-10 minutes before scheduled appointment time!

Have a nice day!

PLEASE NOTE: If possible, PLEASE submit all paperwork in one document

by scanning all at once. . WE DO NOT ACCEPT IMAGES. We greatly appreciate your doing this for us.