The Bernstein Center for Visual Performance and Family Vision Care Associates offer the following forms to be downloaded at your convenience prior to your visit to our offices:
Step 1: ALL NEW PATIENTS should DOWNLOAD AND FILL OUT one of the two Medical History Forms listed below (Please Use the CHILD Form for any patient under 15 years of age).
Adult Medical History Form
Child Medical History Form
Please Print and Sign the Acknowledgement Form
If you wish to take advantage of a comprehensive vision exam for your infant (The InfantSEE Program), please use the forms (English or Spanish) listed below:
InfantSEE Form - English
InfantSEE Form - Spanish/Español