Online Patient Support Center - Allergy Asthma Immunology of Rochester

Quickly and conveniently obtain forms from our office. To view the forms listed below, you will need Adobe Reader. You may bring or mail your completed forms to the office at the time of your visit.

You may download Adobe Reader for free at www.adobe.com.

	Release of Records
	Notice of Privacy Practices
	Financial Policy
	Practice Brochure

If you currently have an appointment scheduled with one of our physicians, you may download the appropriate history form from the list below. Please use the criteria listed to assist you in downloading the proper form. Forms should be completed prior to your appointment date and time.

	Allergy Survey Sheet	Dr Hartel - all ages Dr. Holzhauer - all ages Dr. Kubicka - 11 years and up
	Patient's Personal History Form	Dr. Quaidoo - 16 years and up Dr. Pulver - all ages Dr. Deane - 18 yrs and up
	Pediatric History Form	Dr. Quaidoo - up to 15 yrs., inclusive Dr. Kubicka- up to 10 yrs., inclusive Dr. Deane - up to 17 yrs., inclusive
	Rheumatology Form *	Drs. Condemi, Deane, Quaidoo 18 yrs. and up
	Hives Form	All physicians, in addition to a history form from above.
	Nasal Treatments Nasal Saline ENT Solution Upper Respiratory Infection	All physicians.

*Prior to making a rheumatology consult, your PCP must send a letter stating why you need to be seen along with office notes and lab work.

Most of our offices are open business hours each weekday plus selected evenings. Hours can vary seasonally. Please call for specifics.

Brighton-Meridian Office Injection Hours:
These are typical hours; please call to confirm:
Monday 8:30-5:15
Tuesday 8:30-5:45
Wednesday 8:30-5:45
Thursday 7:45-5:45
Friday 8:30-12:15

Perinton Office Injection Hours:
These are typical hours; please call to confirm:
Monday 9:30-5:45
Tuesday 9:15-11:30, 1:00-5:45
Wednesday 9:15-11:30, 1:00-4:15
Thursday 9:00-5:45
Friday NONE

Greece Office Injection Hours:
These are typical hours; please call to confirm:
Monday 9:00-11:15, 1:00-4:15
Tuesday 9:15-11:45, 1:00-5:45
Wednesday NONE
Thursday 9:45-11:15, 1:30-5:45
Friday NONE

Canandaigua Office Injection Hours:
These are typical hours; please call to confirm:
Tuesday 8:30-4:00
Wednesday 9:00-11:45, 1:00-5:00

Strong Memorial Hospital is our primary affiliation. We are also affiliated with FF Thompson, Highland Hospital and Park Ridge.

Blue Choice, Preferred Care, Aetna, Medicare, United Health Care and others, too.