St. Clair Asthma and Allery Center, PLLC

Forms

We appreciate you taking the time to print and fill out the required medical forms listed below prior to your first visit to Saint Clair Allergy and Asthma, PLLC.

Please click the following links to download and print each form:

Medical Records

Please obtain any medical records which may be helpful in your care and reduce redundancy. This includes any recent:

  • Skin Test Results
  • Laboratory Reports
  • Sinus or Head CT Reports and/or CD
  • Pulmonary Function Tests
  • Chest x-rays or CT scans

Other Info

CareCredit health, wellness and beauty credit cardWhether it's a routine checkup or emergency surgery, you shouldn't have to worry about how to get the best medical care. That’s why we're pleased to accept the CareCredit healthcare credit card. CareCredit lets you say "yes" to recommend treatment and pay for it in convenient monthly payments that fit your budget.CareCredit is the healthcare credit card designed exclusively for healthcare services with special financing options.* With CareCredit, you can use your card for all of your follow-up care as well as annual checkups.Learn more by visiting www.carecredit.com or contacting our office. Ready to apply? Apply Online for your CareCredit card today.*Subject to credit approval. Minimum monthly payments required. Ask us for details.