Carolina Asthma & Allergy Center

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Documents

Please click below for a .pdf file of our New Patient Packet, which contains all the forms and documents you will need for your first visit, including:

  • Informed Consent
  • Special Medication Instructions for Allergy Testing
  • Medical Record Requests and Patient Completion Forms Policy
  • Authorization to Pay Benefits to Physician
  • Carolina Asthma & Allergy Center Financial Policy

New Patient Packet

New Patient Packet – Español

Request for Access to Protected Health Information (to CAAC)

Request for Access to Protected Health Information(from CAAC)

Informed Consent: Testing and Treatment of Minor

Consent for Release of Protected Health Information to Family

Consent for Release of Protected Health Information to Family – Español

Appointment Referral Fax Form

Student Asthma Action Card

Quick Report Card — Asthma and Allergy School Assessment for Students

Notice of Privacy Practices (NOPP) document