New Patient Forms

New Patients

Forms can be printed and then brought to the appointment. 

Office Phone: (253) 589-1380
Fax: (253) 589-1786

Below are forms for new patients to fill out and bring for their first visit with Allergy & Asthma Specialty Services. You will need Adobe Acrobat Reader to view and print these files.

There is a $25 dollar cancellation fee if we are not informed within 24 hours of the appointment. Please let us know 24-48 hours ahead of time if you cannot make your appointment. 

If you come unprepared to your appointment then a fee may be applied to your account.

New Patient Packet   [.pdf]
- Please Fill out the Patient Information, Medical History, and Medication List Forms within this packet and bring to the appointment. Having these filled out will help in processing your appointment at the front desk much quicker.

Common Antihistamines List/ Medications That Affect Testing [.doc]
 - List of common antihistamines patient needs to be off if testing is going to be performed. We cannot garentee you will be tested upon the first visit, but this list is a list of medications that can interfere with testing.

We offer allergy testing , allergy relief, asthma testing and more.

Allergy doctor and asthma doctor proudly serving Tacoma and surrounding areas with our four locations: Lakewood , Puyallup, Gig Harbor, and Olympia.

Share by: