 
    FORT WAYNE ALLERGY AND ASTHMA CONSULTANTS, INC.
                7964 W. Jefferson Blvd.
                Fort Wayne, Indiana 46804
            
                Dr. Naresh Patel
                Alyssa Weiseman, FNP-BC
                Rachel Gilson, FNP-C
                Lindsey Garber, FNP-C
            
                Website: www.FortWayneAllergy.com
                Phone: (260) 436-5670
                Fax: (260) 436-4706
            
We welcome you as a new patient to FWAAC and ask that you please review the following.
 
        Patients with HMO, PPO, POS, or other managed care plans are responsible to follow the rules and guidelines provided by that plan. Some plans require verbal referrals, referral forms, or referral numbers for services provided by a specialist which the patient must obtain from their primary care physician prior to their visit. If you have questions regarding whether prior authorization is required, please feel free to call us. We will need your insurance name, ID number, Group number, and the Customer Service phone number shown on your insurance card. Please bring your insurance cards including any pharmacy cards to your visit.