Insurance & Patient Forms

Currently we accept the following insurance plans for all in-network allergy visits and procedures:

Anthem Blue Cross Blue Shield
Harvard Pilgrim
United Healthcare

It is always recommended to contact your insurance plan to verify participation.

*Dr. Bouboulis is currently only in network with Medicare insurance. All services and procedures are considered out of network(with exception to Medicare). These services are considered self pay; we will provide you the necessary information to submit to your insurance for reimbursement. **

Patient Forms

Health Questionnaire

Instructions for Allergy Testing

Medical Letter Request Form

Medical Records Request Form

Auvi Q Medication Form

Vial Request Form