Due to the reduction of Covid-19 cases, masks are optional in our office.

34041 US HWY 19 N, Suite D, Palm Harbor, FL 34684, US

Appointments: (727) 787-6744

Appointments: (727) 787-6744

  • Home
  • The Sunshine Allergy Team
  • Patient Guide
  • Patient Education
  • Forms
  • Contact Us
  • News/Blog
  • Pay Your Bill
    • secure
  • Covid-19
  • ALERTS
  • More
    • Home
    • The Sunshine Allergy Team
    • Patient Guide
    • Patient Education
    • Forms
    • Contact Us
    • News/Blog
    • Pay Your Bill
      • secure
    • Covid-19
    • ALERTS
  • Home
  • The Sunshine Allergy Team
  • Patient Guide
  • Patient Education
  • Forms
  • Contact Us
  • News/Blog
  • Pay Your Bill
    • secure
  • Covid-19
  • ALERTS

Adult & Pediatric Allergy, Asthma and Immunology

Adult & Pediatric Allergy, Asthma and ImmunologyAdult & Pediatric Allergy, Asthma and Immunology

Patient Forms

 

Please complete all the forms below and bring them with you for your first visit in our office. If you are unable to complete the forms prior to your visit then you must arrive 20 minutes BEFORE your scheduled appointment time to complete them in the office,  otherwise you may be rescheduled.

Click on the appropriate form and the selected PDF form will load to save or to print.

New Patient Paperwork (docx)Download
Patient Registration Form (doc)Download
Cancellation & No Show Policy (docx)Download
HIPAA Authorization (doc)Download

additional useful forms

Medical Request Request (docx)Download
HIPAA Notice Of Privacy Practices (docx)Download
Patient Rights & Responsibilities (doc)Download
Financial Policies (doc)Download
Skin Test Instruction Sheet (doc)Download

Copyright © 2018 Sunshine Allergy - All Rights Reserved.

Phone: (727) 787-6744 --- Fax: (727) 786-3561

Our office will be moving to Harbor Park located at 33920 US HWY 19N Suite 341 Palm Harbor, FL 34684 on 4/1/2023


Learn more