Patient Forms
Helpful information and forms for patients preparing for a visit to Allergy & Asthma of Southern Indiana, P.C.
Before Your Visit
A few details that can help you get ready for your appointment or manage ongoing care with our practice.
Existing Patients
Returning patients can access forms and account information through the patient login area on our site.
Prescription Refills
Refill requests are handled Monday through Friday and submitted electronically. Please allow 24 hours (one business day) for processing.
Payment Options
CareCredit is accepted as a payment option for treatment. Applications can be completed at www.carecredit.com.
Have Questions About a Form?
Our office can help with questions about paperwork, refills, or scheduling. Reach out using the details below or visit our contact page for full office information.
| Phone | (812) 334-1198 |
|---|---|
| Fax | (812) 334-1199 |
| Address | 485 S. Landmark Ave., Bloomington, IN 47403 |
Explore More
Check our current pollen count, learn about our team, or find office details before your appointment.
Pollen Count
Track tree, grass, weed, ragweed, and mold levels that may affect your symptoms.
Our Team
Meet the specialists focused on allergy, asthma, and immunology care for patients of all ages.