Bernstein & Robinson
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Dr. Bernstein
Dr. Robinson
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Patient Forms
Please download, print and fill out the appropriate forms if you are a new patient.
Bring the completed forms with you to your appointment.
This will minimize your waiting time.
Child Patient Registration
Adult Patient Registration
Patient History Form
Patient Consent Form
Medical & Financial Information Disclosure
Notice of Privacy Practices
Child Privacy Acknowledgement
Adult Privacy Acknowlegement
Home
Forms
Dr. Bernstein
Dr. Robinson
Assistants
Products
Services
FAQs
Dermatology Links
Make Appointment
Patient Portal