Insurance & Patient Forms

Currently we accept the following insurance plans for all 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 immunology appointments are considered out of network. These visits are considered self pay; we will provide you the necessary information to submit to your insurance for reimbursement. Please contact our office for pricing details. **

Patient Forms

New Allergy Patient Forms

New Immunology Patient Forms

Instructions for Allergy Testing

Medical Letter Request Form

Medical Records Request Form

Auvi Q Medication Form

Vial Request Form

Phone Consultation Form

Cancellation Policy Form

Appointment Deposit Form