Patient Forms

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We look forward to meeting with you! To help make the check in process smoother and more efficient for you please take a few minutes to review, complete, print and sign the allergy forms below.

Please bring the completed paperwork packet to our front desk staff when arriving for your appointment. If you would prefer to complete the paperwork at our office, please plan on arriving 15 to 30 minutes prior to your scheduled appointment to complete the packet in our office. Thank you again for choosing Boulder Allergy Clinic which is part of Boulder Valley Ear, Nose & Throat Associates.

Allergy Forms and Information

If you are a new Allergy patient, please read and fill out the forms below:

• Sublingual Immunotherapy Consent
• Medication List
• Allergy Questionnaire
• SNOT form

HIPAA Forms

• Notice of Privacy Practices

Request Medical Records

Please use the following form to request medical records:

• Medical Record Release Form

Cancellation Policy

Please note if you need to cancel or reschedule your appointment, we kindly request that you notify us at least 24 hours prior to your visit.  A fee of $50.00 will be assessed for late notifications and for not attending your scheduled appointment.