Required for your visit

Electronic Intake Form (E-Form)

Please complete and submit your form at least 5 days prior to your first appointment, as the doctor uses this to prepare for your appointment.
This form is required for your visit. Your appointment may be rescheduled if your intake form is not received on time.

About our Clinic

Meet the wonderful staff at Aera Medical


Useful related programs and resources

Contact Us

Get in touch to schedule your visit

Documents & Forms

Useful files and forms

Electronic Communications Consent Form

How can we help you?

If you have questions about your allergy or respiratory care, please contact our clinic via telephone or email.