To expedite waiting time during your appointment, please print out this health history form and bring it with you to your appointment.
Download Form

Please arrive 15 minutes early, and bring the following with you:

Photo I.D.

Insurance Card(s) / Referral if applicable

Completed paperwork

Radiology films
Have you had a chest x-ray or CT scan done recently? If so, we ask that you bring the ORIGINAL film whether it is on a disc or film.

Medical Records
Any medical records related to your Pulmonary health condition. Breathing tests (Pulmonary function study), sleep studies, previous clinical notes from any other physicians, and other information which would be prudent for us to help you.

Test & Studies
Breathing tests (Pulmonary function study), sleep studies, and previous clinical notes from any other physician offices that have been treating you for what you are coming in for.