Thank you for choosing the Allergy and Asthma Center as your treatment facility. We have provided downloadable versions of all the necessary forms for you to begin treatment with us. Those forms include:

ALL Patients: Please print and complete the following COVID19 form

• COVID19 Patient Advisory and Acknowledgment Form

For ALL patients, please complete the COVID19 questionnaire for the safety of our staff and patients.

• https://form.jotform.com/212583642590054

For those patients who are needing a telemedicine appt with the doctor, please fill out the following form:

• https://form.jotform.com/212583605707053

For telemedicine patients, at the TIME of your appt, please go to:

• www.doxy.me/drallergist for your appt with Dr. Wasan or;
• www.doxy.me/amyfeldmanpa for your appt with Amy Feldman, PA.

New Patient Forms

• New Patient Paper Work Packet (Part 1)
• New Patient Paper Work Packet (Part 2)
• New Patient Paper Work Packet (Part 3)

• Telemedicine Patient Consent Form
• Antihistamines to Stop Five days Prior to Appt
• Release of medical information
• Information for Patients on Beta Blockers
  
  

Established Patients

• Follow Up Patient Form

Allergy Shot Forms

• For Those Patients Receiving Their Allergy Shots at an Outside Medical Facility
• Allergy Shots Consent Form
• Allergy Serum Remixing Form (for shot patients)

Other Forms

• Food Challenge Consent Form
• Food Challenges
• New Patients and Established Patients: Credit Card Policy