New Patient Checklist

Please print and fill out one of the following:
18 and Under New Patient Forms
Adult New Patient Forms

Please bring any/all of the following if applicable, or have your doctor fax these documents to 317.826.5463 :
- Previous skin testing results
- Most recent labs by your primary care physician
- Most recent doctor’s visit
- Medication list
- Most Recent ER records (pertaining to any reactions, including labs)
- ID and Insurance cards (we will check your eligibility with your insurance company)