Completing paperwork PRIOR to your visit will shorten your registration time. Please fill out the appropriate form below for your type of visit (Allergy or ENT, not both).
- 1- Authorization to Prepare Allergen Extract
- 2- Allergy & Asthma immunotherapy Re-Evaluation
- 3- Immunotherapy Treatment Acknowledgement Letter
- 4- Allergy Extract Release Form
- 5- Allergen Immunotherapy Frequently Asked Questions
- 6- Immunotherapy First Injection Visit
- 7- Safety is Our #1 Concern
If you or your family feel you are having difficulty communicating due to hearing loss, take our Hearing Loss Questionnaire.
- Patient’s Guide to Virtual Visit
- Informed Consent and Pre-Authorization Auto Credit Payment Form for Telemedicine Service
- Advance Beneficiary Notice of Noncoverage (ABN) (English)
- Advance Beneficiary Notice of Noncoverage (ABN) (Spanish)