Patient Information

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Welcome To Advanced Allergy & Asthma

New patients, we value your time, to make your first visit as smooth as possible please print off and fill out the following form.

New Patient Form

Required Patient Information:

  • Your insurance card
  • Physician referral forms, if required by insurance
  • List of prescriptions and/or over-the-counter medication, including dose and frequency
  • Information about your medical and surgical history
  • Recent x-rays or relevant records

Other Forms:

Online Patient Information

Advanced Allergy & Asthma offers online access to billing and medical information. Please note this will open in a new secure window.


Patient Portal

Billing and Insurance

Advanced Allergy & Asthma is a provider for most major insurance plans, and provides insurance billing. You are responsible for charges that are not covered by your insurance, at the time of your appointment.


Your insurance company may require a co-payment at the time of your appointment. When necessary, our staff will work with patients to set up a payment plan.


If you have questions regarding billing or which insurance plans we accept, please contact us. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.