Patient Forms

Forms can be completed online through the patient portal or you can print them from our website and bring them with you to your appointment.

Educational Links

Pollen Counts

Air Quality Index

American Academy of Pediatrics

Allergy & Asthma Network

American Lung Association

Food Allergy Research & Education

Academy of Nutrition and Dietetics

FPIES Foundation

American Contact Dermatitis Society

National Eczema Association

Hereditary Angioedema Association

Asthma and Allergy Foundation

Novartis Pharmaceuticals Corporation and Genentech, CIU & You

American Latex Allergy Association

American Academy of Allergy, Asthma, and Immunology

 

Immune Deficiency Foundation

 

Food Allergy Research & Education

 

American College of Allergy, Asthma, and Immunology


External Content Disclaimer

*Please note that pages of this site may be linked to other websites, which may have different terms of use and privacy practices than Privia Medical Group. Privia does not own, control, manage, supervise, direct, or otherwise have involvement in such other websites or the content of such websites. Privia is not responsible for the content of any linked websites. Privia is not acting as an agent for these websites, nor does Privia endorse or guarantee, in any way, their websites, content, or products. Privia makes no representation or warranty regarding the accuracy of information contained in linked websites, takes no responsibility for the use of copyrighted or otherwise protected materials on such linked websites, and has no control over the privacy practices or use of user information at such linked websites.

Become a Patient

Will this be your first visit to Allergy Sinus & Arthritis Clinic? Welcome!

At your first appointment, or if you have not been in the office within the last 12 months, you will be asked to complete a new patient registration packet. Please print and fill out these forms below and bring it with you to your first appointment. If you are unable to do so, please come to your appointment 30 minutes early to allow time to complete the packet.

Please bring the following items to your appointment:

Photo ID
Current insurance cards
Names, addresses and phone numbers of your family physician and/or other health care providers that you wish Allergy Sinus & Arthritis Clinic to communicate your health conditions
List of medications that you are currently taking or bring medication bottles with you if you can’t remember the name or dosage of your medication
Previous medical records, labs, x-ray if available
If your insurance required a referral authorization to see a specialist, please contact your family physician or our office prior to your visit to ensure your coverage
Stop all antihistamine medications (for detail, see below) if you anticipate allergy evaluation. If you are unsure whether a medication that you are taking is an antihistamine, please call us and we will review your medications with you.
Completed New patient packet or follow up patient forms
*** REMINDER: You must take your antihistamine before you come for your injection and also have your Epi-pen with you to receive your injection.

You should plan to arrive at least 15 minutes early for a new patient appointment, and please allow 1.5 to 2 hours for a new patient visit, especially if there will be any allergy testing performed.

If you have insurance co-pays or you are self pay patient, payment will be due at the time of service.

Welcome Letter


New Patient Forms

Consult Request Form

Patient Demographic Sheet

Allergy New Patient Information

Allergy Follow Up Patient Information

Rheumatology New Patient Information

Rheumatology Follow Up Patient Information

Routine Assessment of RA Patients (RAPID 3)


Allergy Skin Testing

Allergy Testing Instruction Sheet
Allergy Testing Drug Guidelines