Allergy & Asthma Medical Group of the Bay Area, Inc.
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Immunotherapy Maintenance Reward Program for New Patients

Reach 'maintenance level' with your allergy injections and receive your choice of an iTunes gift card, a Target gift card, or two movie tickets! Speak with a physician or nurse to learn more information."

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Patient Forms



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For patients new to our practice - please download and complete all 5 pages prior to your visit. Be sure to bring these completed forms to your appointment.

We also request that you bring any relevant medical records with you, such as hospital records, previous allergy testing, radiology and/or laboratory results.

Important note: If allergy skin testing is to be done at your initial visit, oral antihistamine medications must be discontinued 5 days prior to the appointment date. However, if your condition is bothersome enough to prevent you from stopping antihistamines for the suggested time period, we ask that you still keep your scheduled appointment - we can help speed your recovery now, and perform testing at a later date.

Form One: New Patient Registration
Please print and fill out the New Patient Registration Form (downloadable PDF document)

Form Two: New Patient Questionnaire and Medical History
Please print and fill out the New Patient Questionnaire and Medical History Form (downloadable PDF document)

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