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New Patients

 
New Patients

Forms can be printed and then brought to the appointment. Please do not fax forms, because the faxed copies do not print clear enough to be put in the record.

  

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.

Shot Hours & Directions 

Appointment Preparation Instructions 

Medications That Affect Testing - List of common medications that patients need to be off if testing is going to be performed. 

Patient Information Form - This form needs to be filled out every year or anytime patient changes his or her last name, address, phone number, or medical insurance. (If medical insurance changes we need a copy of your medical card.)

Medical History

Medications That You Are Currently Taking

11307 Bridgeport Way S.W., Suite 200 | Lakewood, WA 98499  (253) 589-1380  allergyaass@hotmail.com | Sitemap