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.

Patient Registration 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

Patient Registration & Consent to Treatment Form


Primary Insured Information

Secondary Insured Information

Assignment of Insurance Benefits

for services rendered by him/her in person under his/her supervisor.

I understand that I am financially responsible for any balance not covered by my insurance. I certify that the information given by me in applying for payments is correct. I request that payment of a authorized benefits be made on my behalf

Consent to Medical Treatment and Allergy Testing

I authorize the doctors at the Welch Pasteur Allergy Medical Group, Inc to undertake appropriate investigation and to give me treatment deemed medically reasonable.