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For New Patients PDF Print E-mail

Please print and complete these forms to expedite your first visit. Bring the completed forms, your insurance information and any questions with you to your appointment.

  New Patient Questionnaire

  New Patient Demographic Information

  Medications You Are Presently Taking

  Allergy Medications You Have Tried Before 

 

Your privacy is important to us. Please review our Privacy Policy , then print and sign the form below to acknowledge that you have received and read the privacy policy. If you have any questions, please do not hesitate to contact us

  Acknowledgement of Receipt of Privacy Notice
 

 

Allergy Emergency

imageDo you have an allergy emergency?

Some allergic reactions can be severe, even life-threatening.  If you are having symptoms of a severe allergic reaction, proceed IMMEDIATELY to the nearest hospital emergency room.

Click here for the signs of a severe allergic reaction.

Ask the Doctor

imageDo you have questions for Dr. Harden and can't find the answers in our FAQ section?

Click here to submit your question for Dr. Harden and his staff.

Disclaimer

Naturally, the general information on this website is not a substitute for an individualized, personal evaluation of your medical situation, and should not be relied upon as a substitute for seeing a physician.