Complete Womens Care Patient Forms
Save Time and Waiting
Here you will find some of the more typical forms used within our office as part of maintaining your health records, insurance, and billing information. For each form below, you will find a description of the form, its purpose, an explanation of who should use it and when. These forms are in Adobe Acrobat Reader format. The Adobe Acrobat Reader is free and is installed on most newer computers. If you don’t have the Acrobat Reader, please visit Adobe to download it. Once the Reader is functional, please print the necessary forms, complete them, and remember to bring them with you during your office visit. This will speed our ability to serve you.
- CWC Patient Information: Please complete this questionnaire so that Dr. Berman and his staff will be able to provide you with the best care possible.
- CWC New Patient Intake Sheet: Personal, contact, and insurance information. Use if you are a new patient or have information changes since your last visit.
- CWC Financial Policy: We strive to provide the best medical care at all times. Our medical practice is a business like any other, and so financial policies such as this are necessary. Please appreciate and respect that we must enforce this policy so that we can continue to provide the highest standard of medical care.Please read this policy carefully.
- CWC Office Policies: Complete Womens Care is dedicated to caring for the special health needs of women of all ages. Please read over our Office Policies and keep a copy for future reference.
- CWC HIPPA COMPLIANCE :Please read,sign and date The Health Insurance Portability and Accountability Act
Recent Arrivals!

Patient Testimonials
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~Taylor B., Hauppauge
Dr. Berman delivered both of my daughters and my son. He is kind, compassionate, caring and always willing to take the extra time to explain everything in detail.
~Marcey Gaves, Stony Brook, NY
~Marcey Gaves, Stony Brook, NY
Dr Berman is a wonderful & caring doctor! I trust him and his great staff.
~Chrissy K, Patchogue
~Chrissy K, Patchogue
Keith and I both come from families with mixed heritage – part Catholic, part Jewish. So when we wanted to honor you, we debated which naming tradition we would follow. Finally, we decided on the Catholic tradition using your name straight-up. Hence the “little lint ball” you delivered has the name Keith “Scott” – in honor of the two most important men in his life. Thank you for taking such good care of all of us – mom, dad and, of course, baby.
~Christin and Keith, New York
~Christin and Keith, New York
Thank you, Thank you! Dr. Scott Berman
My experience, testimonial and recommendation for you follow.
I first learned that I had a fibroid in my uterus eight years ago when I was 37 years old and pregnant with my son. After the birth of my son the fibroid grew slowly overtime, so slowly that I thought the shape my stomach was taking on was normal. I simply adjusted to the symptoms as they worsened including a constant pressure on my bladder, pelvic discomfort and discomfort during intercourse.
Mid last year when I expressed my concern to my OBGYN she was remiss in her response. She discussed the situation with me with one hand on her laptop and the other hand on the door to exit. I haven’t heard from her since.
A few months later when I visited my primary care doctor, I asked her to take a look at my stomach, she was very concerned. After hearing the experience I had had with my OBGYN she encouraged me to get a second opinion. "Had that fibroid been inside her she would want it out".
A few days later my primary doctor contacted me to see how I was proceeding with a second opinion. I explained that a friend had referred me to her OBGYN and there was a delay in getting an appointment. My doctor then recommended I schedule an appointment with Dr. Berman. How glad I am that I did.
Dr. Berman gave me his time and was thorough with his exam. He was equally concerned with the size of the fibroid that had grown to the size of a honeydew melon and his recommendation, as well, was to have it removed. Dr. Berman explained my options including the risks and benefits of all procedures including those that could possibly shrink the fibroid and not require a hysterectomy.
Dr. Berman explained that based on the size of the fibroid it would best be removed with a partial hysterectomy, a midline incision down my abdomen. I expressed that having had a cesarean with my son I would prefer it be taken from that existing scared area if possible. He shared his knowledge of a drug that I could try that would likely shrink the fibroid over a three month term and possibly allow for a vaginal surgery or, better yet, a laparoscopic procedure. I invited my husband and son to go back with me, and again Dr. Berman took his time to explain the various procedures and answered the questions we had. We left that day and further discussed the options.
After prayerful consideration, my decision was to take the drug and I continued to see Dr. Berman on a monthly basis. Because of the level of care and concern I was receiving I had already begun recommending Dr. Berman to my friends and family.
The drug worked and Dr. Berman performed a partial laparoscopic hysterectomy on me earlier this week. I was a bit anxious prior to the surgery but Dr. Berman's cheery disposition, the team at SBU and my family calmed my nerves.
I am happy with the results and expect this joy to increase over time as I completely heal and further enjoy the benefits of my surgery.
Dr. Berman is an empathetic, supportive, skilled doctor. The team he worked with at Stony Brook Hospital were excellent as well as his nurse. All along the way I was treated with care and kindness and am finding myself becoming emotionally grateful as I type.
I am thankful to have Dr Berman as my doctor and recommend him to anyone looking for this high level of care.
Jessica-Centereach, NY 4/27/13
~Jessica Parker
My experience, testimonial and recommendation for you follow.
I first learned that I had a fibroid in my uterus eight years ago when I was 37 years old and pregnant with my son. After the birth of my son the fibroid grew slowly overtime, so slowly that I thought the shape my stomach was taking on was normal. I simply adjusted to the symptoms as they worsened including a constant pressure on my bladder, pelvic discomfort and discomfort during intercourse.
Mid last year when I expressed my concern to my OBGYN she was remiss in her response. She discussed the situation with me with one hand on her laptop and the other hand on the door to exit. I haven’t heard from her since.
A few months later when I visited my primary care doctor, I asked her to take a look at my stomach, she was very concerned. After hearing the experience I had had with my OBGYN she encouraged me to get a second opinion. "Had that fibroid been inside her she would want it out".
A few days later my primary doctor contacted me to see how I was proceeding with a second opinion. I explained that a friend had referred me to her OBGYN and there was a delay in getting an appointment. My doctor then recommended I schedule an appointment with Dr. Berman. How glad I am that I did.
Dr. Berman gave me his time and was thorough with his exam. He was equally concerned with the size of the fibroid that had grown to the size of a honeydew melon and his recommendation, as well, was to have it removed. Dr. Berman explained my options including the risks and benefits of all procedures including those that could possibly shrink the fibroid and not require a hysterectomy.
Dr. Berman explained that based on the size of the fibroid it would best be removed with a partial hysterectomy, a midline incision down my abdomen. I expressed that having had a cesarean with my son I would prefer it be taken from that existing scared area if possible. He shared his knowledge of a drug that I could try that would likely shrink the fibroid over a three month term and possibly allow for a vaginal surgery or, better yet, a laparoscopic procedure. I invited my husband and son to go back with me, and again Dr. Berman took his time to explain the various procedures and answered the questions we had. We left that day and further discussed the options.
After prayerful consideration, my decision was to take the drug and I continued to see Dr. Berman on a monthly basis. Because of the level of care and concern I was receiving I had already begun recommending Dr. Berman to my friends and family.
The drug worked and Dr. Berman performed a partial laparoscopic hysterectomy on me earlier this week. I was a bit anxious prior to the surgery but Dr. Berman's cheery disposition, the team at SBU and my family calmed my nerves.
I am happy with the results and expect this joy to increase over time as I completely heal and further enjoy the benefits of my surgery.
Dr. Berman is an empathetic, supportive, skilled doctor. The team he worked with at Stony Brook Hospital were excellent as well as his nurse. All along the way I was treated with care and kindness and am finding myself becoming emotionally grateful as I type.
I am thankful to have Dr Berman as my doctor and recommend him to anyone looking for this high level of care.
Jessica-Centereach, NY 4/27/13
~Jessica Parker

Love the Bancrofts (Mark, Amanda and Jeanie)
~Amanda & Mark Bancroft, Medfrod, NY
Dr. Berman gave me a wonderful first experience at my first appointment. I am very grateful to have made the choice to go, as we all know its not the easiest dr. to go to. The office was very pleasant and clean as well as the staff. Dr. Berman taking the time to sit and listen to your needs and concerns before the examination was a plus and made it very comforting! Thank You! Patient for good!!
~Karla Gentile, rocky point, new york
~Karla Gentile, rocky point, new york

~Linda, Sound Beach, NY
I am 52 years old and I have been to many , many gynos in my life. God Blessed me when I found Dr. Berman, So kind, gentle, never had to wait long. He is very patient and listens to all of your concerns. I can confidently say that he is the best gyno i have ever had in my life. I have had som e problems and he is very understanding and makes me feel at ease. I had a D and C and I was very anxious and nervous, but he made me feel so calm and he is so reassuring. I cannot say enough good things about him and his staff.
~ Geraldine O'Keeffe, St James
~ Geraldine O'Keeffe, St James

~Heather C, Port Jefferson Station
Dr. Berman is a wonderful doctor and I would highly recommend him to my friends and family. He is great at what he does and takes his time out for his patients. Dr. Berman also make you feel very comfortable. He is also great at delivering babies, he makes you feel very relaxed. Overall, including himself and his staff they are very nice and professional.
~Kristen Rothfelder, Shirley, NY
~Kristen Rothfelder, Shirley, NY

-Shana & James V.
~Shana Von Braunsberg
For several years I had been searching for a gynecologist who was patient, compassionate, understanding and had a great bedside manner as mine had retired years ago. When I met Dr. Scott Berman, I knew I finally found the right one! To make a very long story short, I was diagnosed with an innumerable number of fibroids and turned to Dr. Berman to discuss my options. He discussed all of the options and procedures that were available and I decided that a hysterectomy was the best choice for me. I had the surgery 2 1/2 weeks ago and feel amazing! There REALLY are no words that can express my gratitude and appreciation for him. He and his staff are incredibly patient, caring, understanding and take the time to explain everything in detail. He listened to my every concern and encouraged me to call at any time if I had any questions, no matter how silly I thought they were. He is extremely informative and has a great sense of humor! He really knows how to put his patients at ease. There are no long wait times in his office. Each time I had an appointment, I was seen at the scheduled times. I really cannot say enough positive things about Dr. Berman and his staff, Linda and Cindy! I HIGHLY recommend him to anyone looking for a doctor with those qualities that I mentioned above. Thank you so VERY much for all that you have done Dr. Berman!!
~Cheryl Ridley, Coram, NY
~Cheryl Ridley, Coram, NY
Dr. Berman is an outstanding professional. He is a very knowledgeable and respectful Doctor. He made me feel very comfortable and he spent time answering all my questions with compassion and provided very helpful advice. It is my good luck to have him as my Doctor. He is the greatest Doctor I've been to and I would recommend him anytime.
~Angela, Stony Brook
~Angela, Stony Brook