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NEW PATIENT FORMS Download and print the following forms for your use when visiting our clinic. New Patient Information - a detailed history of the patient. Please fill out as complete as possible. Allergy Questionnaire - several reasons for your visit are outlined on this form and you, the patient, will be asked to circle three of the reasons listed as to why you are being seen. This will allow the physician to have a better idea as to what types of allergy problems you are encountering. Urticaria Questionnaire - if you are experiencing HIVES, and that is the primary reason for your visit, you should fill this form out. If you are a new patient, please print and fill out the above documents prior to your visit. Please bring completed and signed documents with you to your first visit at our facility. Please bring a current insurance card and a picture ID as well. If you encounter any problems or have any questions when completing the documents, please feel free to contact our office at (972) 272-4463 for assistance. |
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