Allergy & Immunology New Patient Intake Form

Streamline Your Allergy & Immunology Practice with Professional Patient Intake Forms

For allergy and immunology clinics, gathering comprehensive patient information is essential for accurate diagnosis and effective treatment planning. Our Allergy & Immunology New Patient Intake Form template helps you collect detailed medical histories, symptom patterns, environmental triggers, and medication allergies—all before the first appointment.

Why Digital Intake Forms Matter for Allergy Practices

Traditional paper forms can be time-consuming, difficult to read, and prone to incomplete information. By digitizing your new patient intake process with Paperform, you'll create a smoother experience for both patients and staff while capturing the detailed information allergists need to provide exceptional care.

This template is specifically designed for allergists, immunologists, healthcare administrators, and medical office managers who want to modernize their patient onboarding process without sacrificing thoroughness or compliance.

What Makes This Template Essential for Allergy Clinics

This comprehensive intake form captures everything your practice needs:

• Complete Medical History: Document existing conditions, previous diagnoses, and family allergy history
• Symptom Diary & Tracking: Allow patients to detail their symptoms, frequency, and severity patterns
• Environmental Trigger Assessment: Identify potential allergens including seasonal factors, pets, foods, and environmental exposures
• Allergy Testing History: Record previous skin tests, blood tests, and challenge testing results
• Medication Allergies & Reactions: Document all known medication allergies with reaction details for patient safety
• Current Medications & Treatments: Track all current medications, supplements, and previous allergy treatments
• Insurance & Demographics: Collect necessary billing and contact information

Designed for Healthcare Workflows

The form uses conditional logic to show relevant follow-up questions based on patient responses, ensuring you gather detailed information only when necessary. This makes the form feel shorter and more personalized while still capturing comprehensive data.

For example, if a patient indicates they've had previous allergy testing, they'll see additional fields to describe those tests and results. If they report medication allergies, they can detail the specific reactions they experienced.

Seamless Integration with Your Practice Management System

Paperform integrates with popular healthcare and business tools to fit right into your existing workflow:

• EMR/EHR Integration: Use Stepper (stepper.io) to automatically route patient intake data into your electronic health records system, eliminating manual data entry and reducing errors
• Appointment Scheduling: Combine intake forms with Paperform's scheduling features to let new patients book their first appointment immediately after registration
• Patient Communication: Connect to email platforms to send automated confirmation messages, pre-appointment instructions, or allergy action plans
• Staff Notifications: Alert clinical staff when new patient forms are submitted so they can review files before appointments

Stepper's AI-native workflow automation is particularly powerful for allergy practices—you can create multi-step workflows that route patient information, flag high-priority cases, update multiple systems simultaneously, and ensure nothing falls through the cracks.

HIPAA Considerations and Data Security

While Paperform is not HIPAA compliant, it offers robust security features including SOC 2 Type II compliance, SSL encryption, and data residency controls. For practices requiring HIPAA compliance, we recommend consulting with your compliance officer about appropriate use cases and supplementary measures.

Many practices use Paperform for pre-appointment information gathering and then transfer necessary data into HIPAA-compliant systems via secure integrations, keeping sensitive protected health information (PHI) properly secured.

Perfect for Growing Allergy & Immunology Practices

Whether you're a solo allergist opening your first practice or part of a multi-provider immunology center, this template adapts to your needs:

• Solo Practitioners: Streamline your intake process and spend more time with patients instead of paperwork
• Group Practices: Maintain consistent data collection across multiple providers
• Pediatric Allergy Specialists: Easily customize questions for younger patients and parental consent
• Multi-Location Clinics: Use the same professional intake form across all locations with Agency+ features

Fully Customizable to Your Practice

This template provides an excellent starting point, but every allergy practice is unique. With Paperform's doc-style editor, you can easily:

• Add your clinic's logo and branding
• Include specific questions about local environmental allergens in your region
• Customize symptom checklists based on your specialty focus
• Add patient education content or pre-appointment instructions
• Adjust the form length and question order to match your workflow

The visual editor makes customization simple—no coding required. Just type, format, and rearrange as easily as editing a document.

Better Patient Experience, Better Outcomes

Patients appreciate the convenience of completing intake forms from home on their own schedule. They can take time to review their medical history, check medication names, and provide thoughtful responses about their symptoms—leading to more accurate information and better first appointments.

The professional, branded design also reinforces your practice's commitment to quality care from the very first interaction.

Get Started in Minutes

This template includes all the questions and logic you need for comprehensive allergy intake. Simply customize the branding and wording to match your practice, add your logo, and start accepting new patient registrations immediately.

With Paperform's generous free plan and scalable pricing, you can modernize your intake process without major upfront investment. As your practice grows, advanced features like unlimited submissions, payment processing for consultation fees, and Stepper workflow automation are available when you need them.

Join the hundreds of thousands of healthcare providers, clinics, and medical practices worldwide who trust Paperform to create professional, efficient patient intake experiences.