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New Patient Information


 

Office Introduction

Allergy Associates & Asthma, Ltd. considers our office document a very important and helpful piece of information for your office visit needs.

Please click our office document to view.

Patient Forms

 New Patient Forms

 Follow Up Visit Questionnaire

 Drug Reaction Chart

 Instructions for Patient's Being Evaluated for Drug Allergies

 Informed Consent - Medical Records Release

Versión en Español:

 Cuestionario de la Alergia [Form 48] [PDF]

 Información a continuación llenada por el Paciente [PDF]

 Para Pacientes de 12 Anos de Edad en Adelante [PDF]

 Prueba de Control del Asma de la Infancia para ninos de 4-11 Anos Edad [PDF]

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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.

Understanding My Insurance - What Do I Owe?

 Understanding My Insurance - What Do I Owe? [PDF]

Hospital Affiliations

 Banner Baywood Medical Center

 Banner Desert Medical Center

 Banner Mesa Medical Center

 Chandler Regional Hospital

 Phoenix Children's Hospital

 Scottsdale Healthcare Osborn

Insurance Accepted

 AHCCCS

 Aetna U.S. Healthcare

 Arizona Foundation for Medical Care

 Arizona Medical Network

 Arizona Physicians IPA (APIPA)/Personal Care Plus

 Blue Cross and Blue Shield of Arizona

 Bridgeway

 Cigna HealthCare of Arizona

 Cigna West (Great West)

 CMDP

 Coventry/First Health

 Health Net of Arizona

 Humana

 Maricopa Health Plan

 Mercy Care

 PacifiCare of Arizona

 Phoenix Health Plan/Community/Connection/Abrazo Advantage

 Health Plan

 SCAN Health Plan

 United Healthcare (UHC) - UnitedHealth Group

 University Physicians Healthcare Group

DESERT PHYSICIANS ASSOCIATION (DPA)

  Health Net of Arizona

PRIME CARE NETWORK

 Banner Choice Plus

 Beech Street

 HealthSmart

 Galaxy Health Network

 Humana Commercial Only

 Multiplans

 Pacificare

 Private Health Care Systems (PHCS)

 SCAN Health Plan

 Three Rivers

 USA Managed Care Organization

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

 Arizona Health Care Cost Containment System (AHCCCS)

 Medicare

 Railroad Medicare

 TriCare Prime/Standard

 TriCare for Life

Our Locations

Choose your preferred location