5600 S. Wolf Road Suite 135,  Western Springs, IL 60558       P: 708-246-4515   F: 708-246-4502

Western Springs Asthma & Allergy

Renee Lantner, MD   &  Chhavi Gandhi, MD​


New Patient Registration Forms


  • If you are unable to print and fill out these forms in advance, please come 15 minutes before your appointment time to complete them in the office. ​


  •  If prior allergy testing, breathing tests, blood tests,  X-rays/CT scans were performed that pertain to your visit, please bring the reports to your visit. 


  • You may need to request these records from your doctor in advance; please only request pertinent results (not the entire medical record); you may use this form:   Release of Records TO our practice


Medications to Stop Before Your Appointment

(This is included in the New Patient Registration.)


Injection Hours (Printable)


Release of Records FROM our practice (to you or another office)

(Please allow up to 2 weeks to process your request. There may be a fee for multiple pages)


Billing and Financial Policy

(This is included in the New Patient Registration.)


Notice of Privacy Practice


PATIENT FORMS