The following documents are pdf files and are read only. Please print off and fill out the new patient form at least 2 days prior to your appointment. You may have to look up some of the information. Please be certain to bring the completed form with you to your appointment. Please do not email any documents to the office.
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New Patient Allergy History Packet
Dr. Long's patients will need to download, print, and fill out this form completely prior to their first office visit.
Download
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Skin Testing Instructions
For patients allergy testing with us, please make sure to avoid these medications included in these documents for one week prior to appointment!
Download
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New Patient Demographics and Consents
You will need to download, print, and fill out this form completely prior to your first office visit.
Download
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Patient Privacy Rights
Download
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Medical Records Request
Universal Authorization Form
We have partnered with ScanSTAT to fulfill all received Medical Records Requests. Please complete the electronic records request by clicking on the hyperlink below.
Visit Link
Please note that you can check the status of submitted requests by visiting the same hyperlink, calling 866-442-9026, or by emailing customerservice@scanstat.com.
