Allergy and Asthma Centers of the NW
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Patient Forms

Please download the clinic forms based on the patient age. Pediatric if less than 18 years, adult if 18 years or older. Answer ALL questions even if you feel they are not pertinent to your problem or concern.

Adult Patient Questionnaire (over 18)
Pediatric Patient Questionnaire (under 18)
HIPAA Privacy Form
Evaluation Questionnaire