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STAMFORD OFFICE
203.323.1770
NEW CANAAN OFFICE
203.972.5232

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SCHOOL & CAMP FORMS

CAMP, SCHOOL,& ALLERGY PROTOCOL FORMS To efficiently manage the enormous volume of school, camp and allergy protocol forms, we ask that parents complete the following prior to submitting  forms:
  • Patient information/demographics
  • Allergies (include Allergist Protocol if applicable)
  • Chronic medical conditions
  • Past surgery or hospitalization
  • Daily medications (name and dosage)
  • Restrictions in diet or physical activity

Allergy protocol, School and Camp form fee will Increase

(Effective March 1st, 2025) to $15.00 or $30.00, for two or more forms when submitted simultaneously.

 

Payment is required at the time of submission

And will not be processed until payment has been received.

 

Expect a processing time of 7-10 business days.  All forms will be automatically made available on the patient portal. 

SCHOOL & CAMP FORMS

CAMP, SCHOOL,& ALLERGY PROTOCOL FORMS To efficiently manage the enormous volume of school, camp and allergy protocol forms, we ask that parents complete the following prior to submitting  forms:
  • Patient information/demographics
  • Allergies (include Allergist Protocol if applicable)
  • Chronic medical conditions
  • Past surgery or hospitalization
  • Daily medications (name and dosage)
  • Restrictions in diet or physical activity

Allergy protocol, School and Camp form fee will Increase

(Effective March 1st, 2025) to $15.00 or $30.00, for two or more forms when submitted simultaneously.

 

Payment is required at the time of submission

And will not be processed until payment has been received.

 

Expect a processing time of 7-10 business days.  All forms will be automatically made available on the patient portal. 

“You can learn many things
from children. How much
patience you have, for
instance.”
- Franklin P. Jones

STAY INFORMED

Sign up for email alerts, and our news.
Enter email and click Submit