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ALLERGY AND ASTHMA OF NORTHWESTERN PA NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
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To fill out the allergy and asthma form, follow these steps: 1. Start by providing your personal information such as your full name, date of birth, and contact details.
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Specify any known allergies or asthma conditions you have experienced in the past or currently deal with.
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Indicate the triggers or substances that commonly cause allergic reactions or asthma attacks for you.
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Provide a detailed medical history related to allergies and asthma, including any previous treatments or medications used.
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