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Asthma & Allergy Clinic of Marin & San Francisco, Inc.

Asthma & Allergy Clinic of Marin & San Francisco, Inc.

  • Home
  • Our Services
  • Meet Your Healthcare Providers
    • Schuman Tam, M.D., FACP
    • Peg B. Strub, M.D.
  • Patient Resources
    • COVID-19 Vaccine: Allergy Information
    • Food Challenge, Recipes and Patch Test Instructions
    • Patient Forms
    • FollowMyHealth Patient Portal
    • FAQs & Additional Information
  • Hours & Locations
    • San Francisco
    • Marin
  • Contact Us

Patient Forms

 
 
Patient Registration Form
 
Request to Release Medical Records From Asthma and Allergy Clinic
 
Follow My Health Patient Authorization Disclosure of PHI
 
Follow My Health Patient (Child) Authorization Disclosure of PHI
 
Immunotherapy Information and Consent Form

 

Marin Office Location

1000 S. Eliseo Drive, #101
Greenbrae, CA 94904

Phone: (415) 461-8909
Fax: (415) 461-1660

San Francisco Office Location

6850 Geary Boulevard (On 33rd & Geary)
San Francisco, CA 94121

Phone: (415) 751-6800
Fax: (415) 751-6808

FollowMyHealth Patient Portal

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