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Patient Portal

Patients

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Patients 2018-01-26T13:00:59+00:00

Patient Forms

You can save time by filling out our new patient forms before your appointment! Just print them, fill them out, and bring them with you to your appointment.

Download a printable PDF of our Patient Portal Application

Download a printable PDF of our New Patient Information Form.

Download a printable PDF of our Financial and Refund Policies.

Download a printable PDF of our Non-Covered Services Agreement.

Dr. Earl and Dr. Singhania’s Patients: Download a printable PDF of our New Patient Medical History Form.

Dr. Apaliski’s Patients: Download a printable PDF of New Patient History Form (Dr. Apaliski’s Patients Only).

Download a printable PDF of our Authorization Form for Release of Protected Health Information.

Download a printable PDF of our Medical release form.

Review our Privacy Policies

Preparing for Your First Visit

Please fill out the above patient and insurance information forms and bring them to your appointment, as this will save time. You can also fill out the forms when you get here–please arrive 15 minutes prior to your new patient appointment.

Please bring your asthma/allergy medications and any relevant medical records to your first appointment if possible.

Your doctor will evaluate you and make recommendations. A typical new patient visit can vary from 30 minutes to 1 hour. Thank you.

Patient Portal

Existing Patients — Access our Patient Portal