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New Patient Paperwork

What to Bring to Your Appointment | Forms to Bring With You
Insurance and Payment Information | Hospital Affiliations
Insurance Accepted

What to Bring to Your Appointment

  • Your insurance card
  • Physician referral forms, if required by insurance
  • List of prescriptions and/or over-the-counter medication, including dose and frequency
  • Information about your medical and surgical history
  • Recent x-rays or relevant records

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Forms to Bring With You

All new patients should come in at least thirty minutes prior to your first office visit. You may print out and complete our 4 page questionnaire prior to your visit to help expedite your appointment. Patients who are specifically being seen for concerns of allergies to medications should print out and complete the forms on drug reactions and allergies prior to the appointment.

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Insurance and Payment Information

Allergy Associates & Asthma, Ltd. is a provider for Medicare and most major insurance plans, and provides insurance billing. You are responsible for charges that are not covered by your insurance, at the time of your appointment.

Your insurance company may require a co-payment at the time of your appointment. When necessary, our staff will work with patients to set up a payment plan.

If you have questions regarding billing or which insurance plans we accept, please call us at the phone number below. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

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Hospital Affiliations

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Insurance Accepted

DESERT PHYSICIANS ASSOCIATION (DPA) PRIME CARE NETWORK BANNER PHO
  • Arizona Medical Network
  • Banner Health Plan
  • Care 1st Health Plan/ONE Care
  • Health Net Senior
  • MediSun
  • Multiplan
  • PacifiCare Senior
  • PGLTC
  • PHCS
  • SCAN Health Plan
  • USA Managed Care Organization
GOVERNMENT PROGRAMS

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Common Allergens


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Allergy Associates & Asthma, Ltd.

Phone: 480.838.4296
Fax: 480.820.1275


Tempe Office
1006 East Guadalupe Road
Tempe, AZ 85283
Location Info >>
Mesa Office
6553 East Baywood Avenue
Suite 103
Mesa, AZ 85206
Location Info >>
Chandler Office
2248 North Alma School Road
Suite 104
Chandler, AZ 85224
Location Info >>