Patient Forms

For patients new to our practice, please download and complete all five pages prior to your visit. Be sure to bring these completed forms to your appointment and please arrive 30 minutes prior to your scheduled appointment time.

We also request that you bring any relevant medical records with you, such as hospital records, previous allergy testing, radiology and/or laboratory results. Please be aware that we treat patients with severe lung disease therefore please arrive unscented.

Important Note

If allergy skin testing is to be done at your initial visit, oral antihistamine medications must be discontinued five (5) days prior to the appointment date. However, if your condition is bothersome enough to prevent you from stopping antihistamines for the suggested time period, we ask that you still keep your scheduled appointment – we can help speed your recovery now, and perform testing at a later date.

New Patient Registration (If 18 years or older)

Please print and fill out the New Patient Registration Form.

Minor Registration (If younger than 18 years old)

Please print and fill out the Minor Registration Form.

New Patient Questionnaire and Medical History (All Patients)

Please print and fill out the New Patient Medical History Form.

Minor Consent to Treat

Please print and fill out the Consent to Treat Minor Form only if someone other than the legal parent or guardian is bringing the patient in for their appointment.

Existing Patients Renewing Antigen: Authorization to Make Antigen

Please print and fill out the Authorization to Create Antigen Form.

Notice of Privacy Practices Form

Please print and fill out the Notice of Privacy Practices.

Take Our Patient Survey

Please fill out our online patient survey here.