Sher Allergy Specialists Patient Forms for Initial Visit

Specializing in Allergies, Asthma, Persistent Cough, Sinus Disease, and Immunodeficiency Disorders

These forms are provided to help you prepare for your initial visit with us. You may print the appropriate forms and bring completed forms with you to your first visit.

Print applicable form and bring completed form to your initial visit

Adult Registration Form
OR

Minor Registration Form

Allergy and General Health Questionnaire
Hives Questionnaire
(Print & complete in addition to Allergy Questionnaire only if applicable)
SAS HIPPA Notice of Privacy Practices
(Print for your information)

* Optional Forms

Allergy Testing Do's & Don'ts *

Map & Directions *
Medical Records Request Authorization *
(When requesting records from another facility)
Medical Records Release Authorization *
(When requesting our records be sent to another facility)