Anita Carmen Choy, MD

Welcome to the new online home of Allergist Anita Carmen Choy, MD. Currently serving adults and children suffering from allergies and asthma, Dr. Choy is a Board Certified Allergist, providing comprehensive medical care for adult and children in the Silicon Valley since 1995.

Email Authorisation Form 2024

Welch Pasteur Allergy Medical Group, Inc

Anita Carmen Choy, MD. |. Hailen Mak, MD
211 Quarry Road, Suite 106 MC 5996,
Palo Alto, CA 94304
Ph: 650.322.3847  |  Fax: 650.322.3249

Authorisation for Release of Protected Health Information 

I hereby give consent to Welch Pasteur Medical Allergy Group, Inc, its physicians and staff to communicate with me via e-mail and agree that:

  • I will use e-mail for non-emergency purposes only;
  • I have received a copy of this office's e-mail policies and have had a chance to ask questions about them;
  • I understand that e-mail communications from my physician are not encrypted and that the security of such e-mails cannot be guaranteed;
  • I understand that all e-mail communications will be filed in my permanent medical record; and - I agree to inform this office in writing if my e-mail address changes.

Patient Signature (Patients 18 and Over)

Parent or Guardian Signature