Note:
The questionnaire is in .PDF format, meaning that most browsers and viewers will allow you to complete it electronically.
There are, however, a few questions that require handwritten responses. For security purposes, we do not collect the forms online. Rest assured that your information is protected and safe. If any questions are unclear or confusing, feel free to contact the office by phone at any time for clarification.
Do not forget to fill out this form prior to your first visit!
Address:
Buffalo Amherst Allergy Assoc. PC
500 Corporate Prkwy Ste 100
Amherst, NY 14226
Fax:
(716) 836-0773