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 

Patient Forms

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!

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

Immunotherapy (Allergy Shots) Information

New Patient Information and Forms

Copyright Central Indiana Allergy. All rights reserved. 

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