For patients seeing our allergist, in addition to the registration forms above, please fill out this allergy history assessment form for questions relating specifically to allergy.
If you are allergy testing done, you will need to stop any antihistamines 72 hours prior to testing. For more information, see our allergy & immunology services page here.
New patient registration forms are located below and can be filled out prior to your initial appointment.
Along with the New Patient Registration paperwork, new patients to the office are to bring in their driver's license/photo ID, insurance cards, and a list of medications they take including the name, strength, and how often they are taken.
You are responsible for knowing If your insurance requires a referral. If so, you are also responsible for contacting your primary care physician to obtain that referral.
Please read over our instructions to see how to properly complete the new patient paperwork. If you have any questions, please give us a call at any of our locations.
For patients being seen for sleep evaluation, please print and fill out an Epworth Sleepiness Scale evaluation prior to your visit and bring it in along with your New Patient Registration forms.
Pulmonary Allergy Critical Care & Sleep Associates
ATTENTION: As of July 15, 2018, our Washington office and sleep center location has closed! The new address is:
75 Barclay Circle, Rochester Hills, Michigan 48307. The pulmonary clinic is in Suite 205 and the Sleep Center is in Suite 220.
Rochester (248) 651-6430
Lapeer (810) 667-3111
Lansing (517) 853-5550
Washington Sleep Center (586) 207-1247
Visit our Patient Portal:
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All Rights Reserved.