New Patient Information and Forms

Copyright Central Indiana Allergy. All rights reserved. 

Prior to your initial visit, please review the New Patient Information, Instructions for New Patient and Skin Test Appointments, and Notice of Privacy Practice AND complete the New Patient Questionnaire and Registration Form. 

Forms are available in Adobe PDF format.  If you do not have Adobe Reader, download it here now!

For your convenience, new patient forms and immunotherapy information are available below.

The “New Patient Packet” contains the following forms:

  • New Patient Information
  • Instructions for New Patient and Skin Test Appointments
  • New Patient Questionnaire 

Please print forms and fill out prior to appointment for a faster registration process!


Patient Forms

Immunotherapy (Allergy Shots) Information

Please print forms and return to our office prior to starting immunotherapy.