|Allergy and Asthma Care, P.A.|
|Treating Adults and Children|
Allergy and Asthma Care, P.A.
12000 Elm Creek Blvd Suite 360
Maple Grove, MN 55369
New Patient Forms
Please print the following forms and complete in advance of your appointment. If you have any questions or problems filling out the forms, do not hesitate to call so that we may assist you. Please remember to bring completed forms with you on the day of your appointment.
Preparation for Allergy Testing and Medications to Avoid
Please be aware certain medications must be avoided prior to testing to obtain valid skin testing results. Review the instructions for more information and a complete list of medications to avoid.
We accept most health insurance plans. Any questions regarding coverage or referral requirements should be directed to your health insurance customer service department. Please remember to bring your insurance card to the appointment.
Other Medical Records
If you have been treated by a physician or hospital for reasons related to your visit with us (for example: allergies, sinusitis, asthma, etc.), then you may want to request copies of pertinent medical records or x-ray results in advance of your appointment. You may either retrieve the records yourself, or have them mailed or faxed to us. HIPAA Privacy Laws may require written authorization to have medical records released to us. You may use the form provided below.
If you need directions to your appointment, links to maps are provided below. Do not hesitate to call if further assistance is necessary.
We are reserving two hours for your appointment. Please call us in advance if you are not able to attend your appointment. Welcome to our practice. We look forward to providing you with quality care.
NOTE: These forms require acrobat Reader version 5.0 or above.
To download Acrobat Reader, click here.
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