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 Patient Information
What to Bring to Your Appointment | Patient Forms What to Bring to Your Appointment
[ back to top ] The following patient forms and questionnaires can be printed out, completed and brought to your appointment:
New Patient Questionnaire (PDF) Hives Questionnaire (PDF) [PDF help] Please review our Privacy Practices and Identity Theft Prevention Red Flag Rules (PDF) [ back to top ] Insurance and Payment Information Allergy, Asthma, & Clinical Immunology Associates participates with most insurance plans in Indiana. To verify we are on your insurance plan, call us at the main office or contact your insurance company. If your insurance requires an authorization before your visit, please contact your primary care physician to verify the authorization has been sent. We expect co-payments at the time of the appointment. Payment arrangements can be made for balance after insurance payments by contacting the Billing Office at 317.924.8334. [ back to top ]
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Allergy, Asthma, & Clinical Immunology Associates
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