Patient Forms

New Patient Appointments:

PLEASE DO NOT WEAR PERFUME, COLOGNE, PERFUMED LOTIONS, ETC. IN THE OFFICE AT ANY TIME.

Please print and complete the demographic information, patient questionnaire, patient financial policy, notice of privacy practices, and cancellation policy forms to bring for your first appointment. If forms are not completed you MUST arrive 30 minutes early for your appointment. In order to perform allergy skin testing, please refrain from taking any antihistamines for five days prior to your appointment.  Please allow 2 hours for your initial visit.

Please remember to bring cash, Check, or credit card for payment at the time of service. If you have any questions regarding your financial responsibility, please call our office.

Thank you for choosing Allergy & Asthma Consultants of Central Florida. We look forward to meeting you.

For minors, the person bringing your child must be prepared to pay at the time of service per our financial policy.

Please bring your insurance ID card and photo ID to your first appointment.

Please complete the following new patient forms prior to your appointment.

Additional Forms:



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