Click here Patient Portal to utilize our online patient portal. This is a new portal as of January 1st, 2023 and requires new registration.
Please send us a message using our Contact Form or request an appointment by clicking here Request Appointment. If you are a new patient to our practice and are requesting an appointment please also complete the new patient onboarding package below.
To become a patient of the practice please complete the new patient registration form. Our patient engagement team will reach out within two business days to schedule your first appointment. We are not able to schedule an appointment without the completion of the new patient registration. Omitting any of the details on the registration may delay this process.
If you are receiving an error message when you try to submit your new patient registration please make sure you have uploaded your insurance and id as a PNG, JPG or a GIF and that any field asking for consent is filled. If you have left a mandatory field blank the field in question will be indicated in red.
Click here Records Release Form to download the form necessary to request another doctor's office to submit records to our office. Print at home, fill out and bring it with you to your first appointment, email to firstname.lastname@example.org or fax to 248-363-3455.
All requests for school forms must be accompanied by the following form (School Form). This form must be fully completed and returned via email to email@example.com. If you have school specific forms and/or medication administration forms those must be submitted at the same time as the school form request. All forms must be in pdf form. We are not able to produce any forms submitted in other formats. All complete requests will receive an invoice for the associated charges. Once paid the forms request will begin processing. As always if the patient has not had a visit with their Physician or PA in the last year an appointment will be needed before forms can be processed.
You may send a request for a prescription refill through the new Patient Portal or by sending an email to firstname.lastname@example.org. Prescription requests must contain patient name, date of birth, name of the medicine being requested and pharmacy name and phone number. If you are requesting epinephrine you MUST include the patient's current weight. Missing information will prevent us from completing your request in a timely manner. No prescription requests will be accepted over the phone or by the after hours on call physicians . Please allow 2 business days for refill requests.
Billing services are provided by Coronis Health. Statements are generated whenever a new patient balance is associated with your account. Statement notifications are generated through a platform called Collectly. You will receive an electronic notification either by email or text (depending on the communication preferences established with the office) that will link you to your most recent bill. You can view details and pay your bill electronically. You may also work with billing on any issues via the chat now button or by phone at (800) 827-3797. If you have reached out to the billing company with questions and have not been provided with the details you have requested you may email the practice manager at LMayer@theallergydoc.com.