Patient Forms

For patients new to our practice, please download and complete all four pages prior to your visit. Be sure to bring these completed forms to your appointment and please arrive 15 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 seven (7) 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

Please print and fill out the New Patient Registration Form.

Medical Record Release Form

Please print and fill out the Medical Record Release Form.

Immunotherapy (Allergy Shots) Consent Form

Please print and fill out the Immunotherapy Consent Form.

Medication List

Please check with your prescribing physician if you are unable to discontinue a medication from the Medication List.

Patient Education

Take a moment to view these short (4 minute) informative videos

Health Journey Support

www.healthjourneysupport.com – With educational videos addressing: Asthma, Spirometry, and COPD

Have questions? Want to book an appointment?
Give us a call. We look forward to speaking with you!