MW

Dr. Michael J. Waickman

Allergy & Clinical Immunology

Patient forms

Download and prepare for your visit

Bring a photo ID, insurance card, and medication/allergy list. Specialist co-pay is required at the time of your visit

Save time by printing and completing available forms before your appointment. If you need assistance, arrive 15-30 minutes early to complete paperwork in the office.

Patient Registration Form (PDF)

Print, complete, and bring to your visit.

Download

Allergy Questionnaire (PDF)

Print, complete, and bring to your visit.

Download

Checklist

What to bring

These details help us make the most of your appointment.

For your allergy visit

  • Photo ID and insurance card (if applicable); specialist co-pay is due at the visit.
  • Current medications, vitamins, supplements, and any known allergies.
  • Prior allergy testing results or treatment history, if you have them.
  • Recent labs or imaging related to breathing/asthma (if available).
  • Referral paperwork if your insurer requires it.
  • Questions about your triggers, seasons, environments, or medication tolerances.