Our forms library is intended for your convenience.   It will save you time during your visit.  You'll have more time to reference your prior records so that your history will be complete and thorough.

You will need to complete and submit these forms upon becoming a patient of Allergy & Environmental Treatment Center. We suggest that you complete and sign each of them prior to your first visit to our clinic. 

Move your cursor over the document you wish to download or complete on-line, and then click your left mouse button.

All documents are in Adobe PDF.
If you do not have Abode Acrobat Reader, you may download it here.

Allergy Medical History Form (Complete this form on-line, print and sign.) If you a are new patient to our Allergy Clinic, Please complete our on-line "Allergy Medical History" form prior to your first visit.  Simply type your information on the form presented to you on the screen.  When you have completed the form, click the "Print Button" on the bottom of the last page (Page 8).  Be sure to bring it with you on your first visit. Please note:  To clear all the information from the form, click the reset button on the last page of the form.

Financial Policy / Receipt of Privacy Practices/Legal Assignment (Print and sign this form.) We suggest that you read and sign each component of this document prior to your first visit as a patient.  Doing so will afford you ample time to review them and save you time during your visit.

Arbitration Agreement (Print and sign this form.) Any dispute as to medical malpractice, that is as to whether any medical services rendered under this contract were unnecessary or unauthorized or were improperly, negligently or incompetently rendered, will be determined by submission to arbitration as provided by state and federal law, and not by a lawsuit or resort to court process except as state and federal law provides for judicial review of arbitration proceedings.

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