Patient Forms

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We know your time is valuable, so we've made the new patient process as smooth as possible. Complete your forms online before your visit, it's quick, easy, and helps Dr. Bernstein prepare a personalized experience just for you from the moment you walk through our doors.

Forms are available in both English and Spanish, with options to fill them out digitally or download and print at your convenience. Have questions? Our team is just a call away.

Please use the link below and fill out the Online Health History Form:

Online Health History Form (Click Here)

Formulario de Historia Clínica en Línea (Haga Clic Aquí)

If you prefer to print the Health History Form, please use the link below:

  • Patient Form (Child) PDF | DOC
  • Patient Form (Adult) PDF | DOC

Payment Expectations Form (Click Here)

If you're unable to open PDF files, you can get Adobe Reader® for free.