Dr. Bernstein wants to get to know you as best he can. Please download, print and fill out the questionnaire below. Don't forget to bring it in to your appointment.
Technical Note:
Our online forms use the Adobe Acrobat 5 Plugin to allow patients the convenience of completing their health history and registration forms from home or work. Please download the free plugin from Adobe's web site if it is not already installed on your system. It is important that you have at least version 5 of the plugin, in order to successfully use our forms.
