Patient Forms
Please download and complete the relevant forms before your visit. Arriving with your paperwork already filled out helps us serve you more efficiently and reduces your wait time.
Download Your Forms
Click any form below to open it in a new tab. Print, complete, and bring it with you to your appointment — or ask our staff to email you a copy.
New Patient Information Form
PDFComplete this form with your personal, contact, and insurance details before your first appointment.
New PatientPatient Insurance Questionnaire
PDFTell us about your asthma, allergy and sinus history before your first appointment.
New PatientRhino-Sinusitis Questionnaire
PDFHelp us understand your sinus and nasal symptoms by completing this detailed symptom questionnaire.
QuestionnairePatient Survey — Rhinitis
PDFA targeted survey to assess the severity and impact of allergic rhinitis on your daily life.
QuestionnaireGeneral Consent
PDFStandard consent form authorizing Asthma & Allergy Care, P.C. to provide medical treatment.
ConsentMedical Record Request Policy
PDFReview our policy and submit a request for copies of your medical records from our office.
PolicyAnaphylaxis Emergency Action Plan
PDFA personalized emergency action plan for patients at risk of anaphylactic reactions.
Emergency PlanAsthma Action Plan
PDFStep-by-step instructions for managing a asthma emergency, tailored for school and home use.
Emergency PlanFood Allergy Emergency Care Plan - English
PDFA personalized emergency care plan for patients managing food allergies, provided in English for home, school, and caregiver use.
Emergency PlanFood Allergy Emergency Care Plan - Spanish
PDFA personalized emergency care plan for patients managing food allergies, provided in Spanish for home, school, and caregiver use.
Emergency PlanNeed help? Call our office or contact us online and we'll assist you.
Helpful Patient Resources
Everything you need to prepare for your visit or connect with our care team is just a click away.
Telemedicine Visits
Prefer to meet virtually? Schedule a telemedicine appointment from the comfort of your home. No in-person forms required for virtual visits. Call us at (973) 627-1000 to schedule.
(973) 627-1000Learn About TelemedicinePatient Resources Hub
Explore our full library of patient resources — including the patient portal, insurance & billing info, office policies, and more.
View Patient ResourcesNew to our practice? We recommend completing the New Patient Information Form and the Patient Insurance Questionnaire at least 24 hours before your first visit to ensure a smooth check-in experience.
Need Help With a Form?
If you have questions about which forms to complete, need a form emailed to you, or require assistance filling one out, our friendly staff are happy to help.
You can also bring your completed forms directly to our office — our front desk team will be glad to assist.