Omaha Patient Forms

Allergists in Omaha:

(402) 391-1800

Allergists in Lincoln:

(402) 464-5969

Request An Appointment

Smiling Allergist

We now offer telehealth! Click here

to request a telehealth visit!

Before You Visit: Clinic Precautions & Guidelines During COVID-19

COVID-19 Notice: Business hours may be affected

Due to ongoing safety measures, our Grand Island and Cotner Location have modified allergy injection hours, visit our Calendar to stay up-to-date on hours and availability.

Omaha Patient Forms

Omaha Patient Forms

Omaha New Patient Forms Packet

Additional Questionnaires You May Be Asked to Complete:

Recurrent Infections Questionnaire

Wart Questionnaire

Metal Allergy Questionnaire

Penicillin Allergy Questionnaire

Omaha Medical Records Release Forms

Release of Medical Records

Student Asthma/Allergy Action Plan

Student Asthma/Allergy Action Plan (Spanish)