Advanced Allergy & Asthma Specialists Patient Forms

 

NOTICE TO PATIENTS

Prior to your first visit to Advanced Allergy & Asthma Specialists, please download all of the Patient Forms on this page. Complete the forms by answering all questions and bring them with you to your appointment. Thank you.

PATIENT FORMS

Filename Size Date
An Adobe Acrobat file Allergy History Form - 2015 533.05 KB 2015-01-06 16:16:01
An Adobe Acrobat file Consent to Treat and Verification - 2016 678.35 KB 2016-01-06 17:47:06
An Adobe Acrobat file Financial Policy Form - 2016 333.76 KB 2016-01-06 17:45:04
An Adobe Acrobat file Insurance Verification and Patient Registration - 2015 412.82 KB 2015-01-13 17:41:49
An Adobe Acrobat file Medication Slip for Follow Up Visits 273.84 KB 2012-10-15 20:10:51
An Adobe Acrobat file Notice of Privacy Practices - 2015 140.44 KB 2015-01-06 16:34:16
An Adobe Acrobat file Office Policy Form - 2016 431.42 KB 2016-01-06 17:43:15

MISCELLANEOUS INFORMATION

Filename Size Date
An Adobe Acrobat file Dr. Gonzalez Professional Profile 248.66 KB 2012-10-15 20:11:35
An Adobe Acrobat file How to Use Nasal Spray and Inhale - 2015 322.45 KB 2015-01-06 16:18:56
An Adobe Acrobat file Rhinitis Asthma 2015 Update 1.13 MB 2015-01-06 16:21:30
An Adobe Acrobat file Saline Wash Instructions 2012 389.82 KB 2012-10-15 20:13:22
An Adobe Acrobat file The Asthma Epidemic 238.8 KB 2012-01-17 13:58:40

The patient is our primary concern, thus we pride ourselves on providing personal and friendly care as we strive to be your partner in health. We are dedicated to fully educating you about your health needs while introducing many state of the art modalities available in today's healthcare environment.

Our goal is to help you achieve

YOUR BEST!