Patient Forms

Patient Forms

To expedite your first appointment, please arrive a few minutes early to complete registration forms so that we have all the necessary information to treat you.  You may also download and print the forms from this website, fill them out ahead of time, and bring them with you to the first appointment.

Follow-up Patients

If you were previously were evaluated or had testing performed, you may request a copy of your records be sent to: 

Dr. Vivian Hernandez-Trujillo
Allergy and Immunology Care Center of South Florida
16371 NW 67 Avenue
Miami Lakes, FL  33014

Phone (786) 646-9280
Fax (786) 507-8228

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