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Preregister for the Centre for Family Beginnings

Maternity Preregistration
Please print clearly and fill in all spaces. If something does not apply to you, place an
“N/A” in the space provided. Incomplete forms
cannot be processed. Thank you.

Register Online by clicking here.

or

Please Mail To:
Wellington Regional Medical Center
Attn: Admitting Office
10101 Forest Hill Boulevard
Wellington, FL 33414

Download a PDF of the preregistration form.

or

Register in Person:
The Admitting Office
Wellington Regional Medical Center
Monday—Friday
7 a.m. - 4 p.m.



Florida Birth-Related Neurological Injury Compensation Association (NICA)

importantIn order to fully process your preregistration, please download the NICA pamphlet and form. The form must be signed and returned to:

Wellington Regional Medical Center
Attn: Admitting Office
10101 Forest Hill Boulevard
Wellington, FL 33414
NICA Pamphlet

NICA Consent Form

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