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  • Home
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    • Meet Our Doctors
    • Support Organizations
  • Conditions & Treatments
    • Allergy Shots
    • Allergy Testing
    • Anaphylaxis
    • Animal Allergy
    • Asthma
    • Bronchitis
    • Chronic Cough
    • Common Cold
    • Dermatitis/Eczema Treatment
    • Drug Allergy
    • Food Allergy
    • Hives
    • Indoor Allergens
    • Influenza
    • Latex Allergy
    • Outdoor Allergens
    • Pharyngitis
    • Sinusitis
    • Stinging Insect Allergy
  • For Kids
  • Patient Information
    • Insurance
    • New Patient Forms
  • Locations
    • Barrington
    • Highland Park
  • Contact
  • Bill Pay

Highland Park

1849 Green Bay Road, STE 220, Highland Park, Illinois 60035, United States


Phone

847.433.7660

Fax

847.433.7662

Barrington

27790 W Hwy 22, STE 16, Barrington, Illinois 60010, United States


Phone

847.382.2050

Fax

847.382.6264

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Pay Bill
27790 W Hwy 22, STE 16, Barrington, Illinois 60010, United States
847-382-2050
1849 Green Bay Road, STE 220, Highland Park, Illinois 60035, United States
847.433.7660
Bill Pay
Make an Appointment
Blank white image
  • Home
  • About
    • Meet Our Doctors
    • Support Organizations
  • Conditions & Treatments
    • Allergy Shots
    • Allergy Testing
    • Anaphylaxis
    • Animal Allergy
    • Asthma
    • Bronchitis
    • Chronic Cough
    • Common Cold
    • Dermatitis/Eczema Treatment
    • Drug Allergy
    • Food Allergy
    • Hives
    • Indoor Allergens
    • Influenza
    • Latex Allergy
    • Outdoor Allergens
    • Pharyngitis
    • Sinusitis
    • Stinging Insect Allergy
  • For Kids
  • Patient Information
    • Insurance
    • New Patient Forms
  • Locations
    • Barrington
    • Highland Park
  • Contact
  • Bill Pay

New patient  forms

Barrington, Highland Park & Beyond


Make an Appointment

Please bring the completed forms to your first appointment.

New patients can download the following forms before their first appointment:

Patient Information Form

Cancellation Policy

Allergy History Form

Notice of Information Practices

Patient Consent Form

Pre-Office Visit Form

Financial Policy

Prior Authorization Charge

School and Camps Forms

School and Camp Form Policy

Asthma Action Plan

Food Allergy Action Plan

Rescue Medication Form

Asthma Patient Forms

Asthma Action Plan

Inhaler Technique

Metered Dose Inhaler

Metered Dose inhaler with Chamber and Mouthpiece

Metered Dose Inhaler with Chamber and Mask

Peak Flow Measurement

Peak Flow Value Chart

Food Allergy Patient Forms

Food Allergy Action Plan

Food Allergy Home Plan

Oral Food Challenge Instructions

Recipe for Baked Egg Challenge

Recipe for Baked Milk Challenge

Medical Records Release Form

Consent for Release of Medical Records

Prior Authorization Form

Prior Authorization Charge


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Locations

Highland Park

1849 Green Bay Road, STE 220, Highland Park, Illinois 60035, United States


Phone

847.433.7660

Fax

847.433.7662

Barrington

27790 W Hwy 22, STE 16, Barrington, Illinois 60010, United States


Phone

847.382.2050

Fax

847.382.6264

Bill Pay Make an Appointment

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