Online Forms

Downtown West Allergy and Asthma offers our patient form(s) online so they can be completed in the convenience of your own home or office.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.

  • Download the necessary form(s), print it out and fill in the required information.

  • Fax us your printed and completed form(s) or bring it with you to your appointment.

 

Mild asthma symptoms can occur at any time, with symptoms becoming much worse during flareups, usually in response to a trigger like pollen or exercise.

 

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

We will do our best to accommodate your busy schedule.  Schedule an appointment today!

We strive to provide complete care for our patients.  Learn more about all the services we provide.

DOWNTOWN WEST
ALLERGY AND ASTHMA

Office Hours

Our Regular Schedule

Contact Us

1127 Wilshire Boulevard, Suite 1604, Los Angeles, CA 90017

T: 212-300-2102  • F: 800-586-0181

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