New Patients:
Completing these forms PRIOR to your visit will shorten your registration time.
- Allergy Patient Paperwork
- ENT Patient Paperwork
- Medications to Avoid Prior to Skin Testing
- Clinic Location Phone and Fax Number
- Insurance Plans Accepted
Immunotherapy Patients:
- Authorization to Prepare Allergen Extract
- Allergy & Asthma immunotherapy Re-Evaluation
- Immunotherapy Treatment Acknowledgement Letter
- Allergy Extract Release Form
- Allergen Immunotherapy Frequently Asked Questions
- Immunotherapy First Injection Visit
- Safety is Our #1 Concern
Audiology Patients:
If you or your family feel you are having difficulty communicating due to hearing loss, take our Hearing Loss Questionnaire.
Telehealth:
- 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)
Authorization for Release of Health Information
Notice of Privacy Practices and Disclosure of Protected Health Information
