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Here are forms and educational materials that you can download. Please feel free to call our office if you need any assistance.
The following downloads are forms that you will need to print out and fill in prior to your first office visit. Printing these out and signing them before your first visit will save you time!
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Adult Medical History Form - This form needs to be fully filled out prior to your first appointment.
Pediatric Medical History Form - This form needs to be fully filled out prior to your child's first visit with us.
AAC New Patient Info Form - This form gives us information about you. It provides us with insurance and other necessary financial information so that we can file your office charges with your insurance carrier.
AAC New Patient Financial Form - This form provides you with our financial policies.
AAC New Patient HIPPA Form - This form provides you with information about your rights to privacy and our responsibilities to you regarding the release of any of your medical information. |
The following are copies of some of our educational handouts that we share with our patients. Feel free to print them out and share them!
House Dust-What is house dust and how best to control this serious allergy problem? You may have the cleanest home in the neighborhood but House Dust Mites can still be a big problem.
Allergy Testing-If you or your child are about to have allergy testing done, it is crucial that you read this important information.
Hay Fever-If you or a loved one suffer from hay fever, you will want to know what is in this informative handout.
Pet Allergy-If pets are a problem in your home here are some helpful hints and insights.
Dry Skin Care-Here are some very helpful methods to keep your skin moist and help control itching. If you or your children suffer from eczema, that this handout is required reading.
Vocal Cord Dysfunction-This handout explains what VCD is and how we treat this common problem that mimics and complicates asthma.
Long Acting Bronchodilators and Asthma- Here is some helpful information prepared by Dr. Blumenthal to help answer your questions about the safety of these medications and the recent FDA warnings.
Asthma Action Plan - Here is a tool to help you manage your (or your child’s) asthma when signs and symptoms of asthma are not fully controlled.
Singulair-This is an informative review by Dr. Blumenthal about the safety of Singulair in light of recent FDA warnings.
Prior Authorizations - A few words from our office staff regarding prior authorizations.
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