Holistic Healing Center - Dr. Deborah Bernstein

Welcome to Holistic Healing Center! We are here to support you in achieving your optimal health and wellbeing! We are committed to scheduling you with Dr. Bernstein as soon as possible. Please take a few moments to complete the following forms. Our experience is that patients who promply complete the paperwork are more engaged in the process. To this end, we require that you complete and submit all forms prior to scheduling your appointment.  For your protection and security; information you enter will be encrypted and safely sent directly to our office once you complete all sections.

Navigating away from this form system or allowing it to “Time Out” before clicking "Submit" will cause the dismissal of any entered data. All fields with orange triangles are required fields and forms cannot be submitted if those fields are left blank.

After successful submission you will be redirected to a Confirmation/Thank you page.