Forms can be completed online through the patient portal or you can print them from our website and bring them with you to your appointment.
"Love Dr. Hernandez! She is not pushy at all and actually listens to you unlike another OB I had at a different practice. I definitely recommend Dr. Hernandez and the staff at Northeast!"
"I thought the office staff was very helpful and nice."
"This is a fantastic clinic! The staff are warm and friendly, and Dr. Bernell is an outstanding physician!"
"This place is awesome! Everyone is so welcoming and friendly! They always get you in and out very quick! I have never been more satisfied with my doctor or staff! Dr. Hernandez is very sweet, and makes you feel super comfortable!! I would highly recommend this office to anyone!"
"Dr. Bernell is thorough, easy to talk to, knowledgeable, down to earth, and has a wonderful calming presence! She was able to help me through my labor much better than the hospital nurse! She was calm & soothing — which was much needed! I really enjoyed my pregnancy journey with her as my OBGYN! I am so happy to have her as my doctor!"
"I've been with Dr. Bernell since 1997 and I have nothing bad to say about her or her staff. I've had a baby with her and two different surgeries. She has always been a wonderful OBGYN. I have sent many patients to her and they have all had positive experiences."
"I love Dr. Hernandez! My little man is 6 weeks old. I had the best pregnancy and birthing experience. I will recommend her to everyone. She always makes me feel comfortable and never rushes me out the door. She makes me feel like a person not just a patient. I have had good experiences with all of the staff and the office is nice and clean. I also have never had to wait for than 10-15 minutes in the waiting room, which I wouldn’t have been mad about waiting longer it is so comfy. Thank you Dr. Hernandez!"
Patient Forms
Authorization for Release of Medical Information (PDF) - Allows patients to authorize the disclosure of their health information to a designated individual, company, agency, or facility.
Authorization and Consent for Treatment (PDF) - All patients must provide their consent for treatment, communications (calls, emails, and text messaging), and agreement of financial responsibility. Autorización y Consentimiento Para el Tratamiento
Preferred Contacts (PDF) - Patients are encouraged to complete and return the Preferred Contacts Form but it is not required. Contactos Preferidos
Virtual Visit Policy (PDF) - This policy describes the process for the documentation, maintenance, and transmission of information using virtual visit technology.
Office Policies
Financial Policy (PDF) - This form advises patients of their complete financial responsibility for all medical services received without regard to insurance eligibility or coverage determinations.
Notice of Privacy Practices (PDF) - Describes how health information about you (as a patient of this Care Center) may be used and disclosed, and how you can get access to your individually identifiable health information. Please review this notice carefully.