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Watergate & Burke Allergy & Asthma Centers

Patient Forms

We want to make your life easier!

Below are downloadable patient form and documents to prepare you for your visit.

Patient Forms Watergate & Burke Allergy & Asthma

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New Patient Form


If you are a new patient, click the image below to access our patient registration form. 


Please complete these forms and bring them in with you to your appointment. 

New Patient Registration Form

Medical & Allergy History Form

HIPPA Compliance Consent Form


A helpful note

This form can be completed using Adobe Acrobat (or a preferred document editor of your choice). Ensure the file is accessed from your downloads folder and not using your Internet browser.  If using Adobe Acrobat, click the "stylus on paper" icon (see example image below) to begin editing.




Office Information

  • General information
  • Insurance policies
  • Directions


New Patient Forms Watergate & Burke




Center Locations

Watergate Allergy & Asthma Center

Watergate Office Building
2600 Virginia Avenue, NW, Suite 508
Washington, D.C. 20037
Phone: (202) 342-1984
Click For Directions

Burke Allergy & Asthma Center

Burke Village Shopping Center
9520 Burke Road
Burke, Virginia 22015
Phone: (703) 425-8616
Click For Directions