Patient Forms

For patients new to our practice, please complete the relevant forms online prior to your visit. 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

For a list of antihistamines please click here.

Secure Online Forms

1. Telemed Adult Patient Registration 
2. Telemed Minor Patient Registration
3. Adult Patient Registration Full Packet
4. Minor Patient Registration Full Packet
5. Adult Patient Registration
6. Minor Patient Registration
7. Document Picture Upload
8. Informed Consent for Telemedicine
9. Medical Health History
10. Authorization to Make Antigen
11. Consent to Treat Minor
12. Authorization for Release of Information
13. Office Visit Update
14. Immunotherapy Information and Consent

For Antigen Billing Information, click here.

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.