Carolina Asthma & Allergy Center

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:

• Patient and insurance information.
• Pre-Visit Questionnaire
• 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 – English

New Patient Packet – Spanish

Appointment Referral Fax Form

Student Asthma Action Card

Quick Report Card — Asthma and Allergy School Assessment for Students