Schedule Booking form Name * First Name Last Name Phone number * (###) ### #### Email * Is it ok to text you? * Yes No I understand that Dr. Steinberg does not bill insurance and that payment is expected prior to the appointment. See Pricing page for details. * Check to acknowledge Have you been a patient of Dr. Steinberg's at a previous practice? * Yes No What brings you to Steinberg Gynecology? Preferred method of communication Text Phone Email How did you hear about this practice? Thank you!