Appointments and Services

Patient Information
New Patient Information
The Office Visit
Cancellations
Patient Forms
Insurances We Accept
Practice Policies
Prescription Refills
Hospital Affiliations


New Patient Information

Welcome to the Practice Brochure
Checklist for your first appointment
New patient history form
Registration Form
Notice Regarding Privacy of Personal Health Information
HIPAA Acknowledgment Form
Medication alert for allergy testing

The Office Visit and Follow-Up Care

Your Initial Evaluation
Allergy Skin Testing
Breathing Tests
Allergy Shots (Immunotherapy)
Drug Testing and Desensitizations
Emergencies and After Hours Care
Patient Responsibility

Cancellations

Please give at least 24 hours notice if you are unable to keep your appointment. Please note you will be charged for the office visit if you do not cancel with advance notice.

Patient Instructions and Forms
Registration Form
Release of Medical Information Form
Information and Informed Consent for Allergy Immunotherapy (Allergy Shots)
Allergy Skin Testing Information and Informed Consent
Medication alert for allergy testing
Authorization Form for Unattended Minors


Insurances We Accept

We participate with many health insurance plans including:
  • Medicare
  • Blue Shield of PA and NJ (excluding Medical
  • Assistance/Medicaid products)
  • Aetna
  • Atlanticare
  • Beech Street/MediChoice/Capp Care (NJ)
  • Blue Choice
  • Champus/Tricare
  • Choice Care (PHCS)
  • Cigna Health Plans of New Jersey
  • Pennsylvania
  • Consumer Health Network/NBC
  • CorCare
  • Devon
  • Family Choice Health Alliance
  • First Health
  • Friends Choice
  • Great West Health Plan
  • Health Care Payers Coalition of NJ
  • Horizon BS NJ
  • Intercounty
  • Intergroup/Capp Care/Beech Street (PA)
  • JerseyMed
  • Keystone Health Plan East (PA & NJ)
  • Local 825
  • Multiplan
  • National Provider Network
  • Personal Choice
  • Preferred Choice (USA Healthnet)
  • Private Health Care Systems (PHCS)
  • Uniformed Services Family Health Plan
  • United Healthcare (No HMO)

Practice Policies

Group Physician Practice Policy
Referral Policy
Co-Payment and Billing/Payment for Medical Services Policy
Follow-Up Visit Policy
Primary Care Physician and After-Hour Urgent Medical Problem Policy
Prescription Change to Insurance Formulary Preferred Brand Policy
Common Courtesy in Our Offices

Prescription Refills

In the best interest of your health, prescription refills will not be authorized if you have not seen by our physicians within 6 months of your request or if you have not been seen in follow-up as recommended by your physicians. Requests for prescription refills will only be authorized during normal working hours (8am – 4:30pm) and it is best to call our office with your request as early in the day as possible.

Hospital Affiliations

The physicians of The Asthma Center have privileges at several hospitals in Pennsylvania and New Jersey including: Hahnemann University Hospital, Pennsylvania Hospital, Frankford-Torresdale Hospital, Jeanes Hospital, Virtua Memorial Hospital, Southern Ocean County Hospital and Community Medical Center.

Copyright © 2008 The Asthma Center / Allergic Disease Associates, PC.