*Required fields are marked with an asterisk.
Below is a listing of our patient forms. To download, simply click on the pdf logo next to the form that you would like to download.
All printable forms are in the Adobe format. If you do not already have Adobe Reader installed on your computer you can download or update it for free by
clicking here. If you are having trouble opening a particular form, you may need to update Adobe.
If you have completed any of the forms below and have access to a scanner you can send them to our office by
clicking here and uploading the documents. Otherwise forms can be delivered via our fax number 706-324-0396. You may also mail or drop off completed
The Allergy Center at Brookstone
1220 Brookstone Centre Parkway
Columbus, GA 31904
Patient Handbook - A documenting outlining our practice's privacy practices, financial policies, clinic information, and more important information about our practice. Printed copies can be requested at any time at our reception
||Patient Consent Form - This document is our primary consent form. All patient are required to have a signed consent form on file. This form also serves as an acknowledgement that you have reviewed a copy of the above "Patient Handbook"
which contains our office policies. The bottom of the form allows you to authorize specific individuals to access your protected health information. |
Medical Records Release - Need a copy of your medical records or need them sent to another provider? This form not only provides us authorization to do so, but also includes contact information for the receiving party. We do charge
a fee for this service. |
The Allergy Center at Brookstone offers and maintains this website to provide information of a general nature about the conditions requiring the services of an Allergist. The information is provided with the understanding that we are not engaged in
rendering surgical or medical advice or recommendations. Any information in the publications, messages, posting, or articles on this website should not be considered a substitute for consultation with a Board Certified Allergist to address individual
medical needs. Individual facts and circumstances will determine the treatment that is most appropriate.