Patient Downloadable Forms

Welcome to the Practice! 

If you are a new patient, please fill out the first four forms linked below. You may email them to us at   frontoffice@allergyandclinical.com   in advance of your appointment or you may bring them in with you at your appointment time. 

New Patient Registration Forms
Billing Agreement
New Patient Registration
Financial Policy

 

If you are over the age of 18 and would like a parent or other adult to be able to discuss your treatment or billing with the office, please fill out the "Consent to Discuss Treatment" form. The "Record Release" form may be used if you would like us to send your records to another physician.

Consent to Discuss Treatment
Record Release
Antigen Re-Order Form - Please fill out the top portion only if it is time to renew your antigen and fax it to (310) 453-8468