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If you would like to save some time at your first visit, please print and complete these forms prior to arriving.

Form for New Patients

Also if you need to obtain old medical records prior to your visit, please print, complete, and deliver this form to your previous physician's office or hospital's medical record department.  They will either mail or fax those records to us directly.  Note that depending on those facilities, this process can take from a week to three months or longer.

Click here to print new patient paperwork

Click here for the request for previous medical record form.

 

Please click the link below to download a copy of Adobe Acrobat Reader if you do not already have one.

Get Adobe Reader logo

 
   
               
               
 

 Home  /  Our Staff  / Patient Education  /  Insurance  / Fee Schedule  /  Patient Forms  /  Contact Us  /  EMR  /  HIPAA Notice  /  Directions

Allergy & Asthma Care of Houston

14090 Southwest Freeway, Suite 306

Sugar Land, TX  77478

281.645.6401

 

drperez@aachou.com

 

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This site was last updated 04/25/13