For your convenience, the following forms are available for download. You can print them at home and fill them out when it’s convenient for you. This way you can attend your appointment free of distractions allowing you to focus on your visit. 

Health History Questionnaire

Privacy Practice

Notice of Privacy Practices Acknowledgement

Patient Information Sheet

Record Release

What we offer


Stern Comprehensive Women’s Healthcare
1001 NW 13th St., Suite 101A
Boca Raton, FL 33486
Phone: 561-488-3128
Fax: 561-482-5952
Office Hours

Get in touch