PANACEA Allergy - NOW HIRING
Paid High School and Gap Year
Pre-Med Interns for 2025-26


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PERFECTION IS ACHIEVED

NOT WHEN THERE IS NOTHING MORE TO ADD,
BUT WHEN THERE IS NOTHING LEFT TO TAKE AWAY.



HIPAA privacy practice documents

Please read before signing forms.

Commercial plans- HIPAA privacy practice summary

Commercial plans- HIPAA privacy practice comprehensive

Government plans- HIPAA privacy practice links

Panacea Allergy- Text (SMS) policy​


New Patient Forms:

HIPAA Privacy Practice consent form

Security Deposit Policy acknowledgement form

Financial Policy consent form

Demographic/Insurance Information

Medical History

Consent for skin testing

Release of medical records


Other forms (not for new patients):

Consent to treat a minor (call office)

Consent for immunotherapy (shots)



737 Saint Johns Ave
Highland Park, IL 60035

P: 847-805-8088
F: 847-805-8844



PANACEA ALLERGY, ASTHMA & IMMUNOLOGY