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.

New Patient Registration Forms

HIPAA Notice of Privacy

Individual Forms

Patient Information

Patient Health History/Assessment Form

Medication Profile

Medical Release Form


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.

     Est. 1987

Patient Registration

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

Sleep Evaluation

Visit our Patient Portal: