PATIENT REGISTRATION

To speed up the registration process at your first appointment, please print and fill out one of the following registration forms (the first form is for adult patients, the second for pediatric patients) as well as the New Patient Questionnaire, Patient Medication List, and Medical Records Release forms and bring the completed forms with you to our office. If you do not have Adobe Reader, click here to download it for free.

Registration Form
New Patient Questionnaire
Patient Medication List
Medical Records Release Form
Summary Notice of Privacy Practices
Notice of Privacy Practices
Immunotherapy Consent Form
Immunotherapy Re-mix Authorization Form
Personal Representative Designee

Patients new to our clinic should expect their first appointment to last between one and three hours depending on the level of diagnostic testing necessary.

Please do not take any medication that contains an antihistamine for 5 days prior to your first appointment. Please see the list of prohibited antihistamines here. This does not include inhalers, topical medications for skin, or prednisone. It does include prescription and over-the-counter oral antihistamines, prescription nasal sprays such as Astepro or Patanase, and antihistamine eye drops such as azelastine, Pataday, Elestat, or others. If you take an antihistamine within 5 days of your appointment please contact our office because we may be required to reschedule your appointment. Skin testing is not as accurate when antihistamines have been used within 5 days of the tests.

If you have any questions about the information above or help with filling out the forms above, please feel free to contact us and we will be happy to assist you.



Dust mite reduction programs have been shown to reduce symptoms and medication requirements in house dust mite allergic children and adults. These strategies include polyurethane dust mite-proof pillow and mattress covers, weekly hot water washing of bedding, and exclusion of furred and feathered pets from the sleeping area.

Get the daily pollen counts

Located in Medford, Oregon with satellite offices in Grants Pass, Ashland, and Klamath Falls, the Allergy and Asthma Center of Southern Oregon, PC offers exceptional care for patients with allergies and asthma.

Allergy & Asthma Information

Please feel free to explore our site as you will find information on allergy and asthma care including information about pollen allergies, food allergies, immunotherapy, atopic dermatitis, hives, poison oak and more.

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