Patient Resources

Patient Resources

Midwest Immunology is proud to help those with an immune deficiency to get the relief they need from their symptoms so that they can live a relatively normal life. While our facility only accepts referral patients, we’re happy to assist you in any way that we can — including providing resources where you can learn more about immune system disorders. Whether you’re a new patient or someone looking for answers, we’re here to help you get the information you need.

Patient Forms

Patient Forms

It is extremely important and necessary that you bring, fax, or mail all of your doctors’ records — including office notes, x-rays/radiology reports/scans, and especially labs — to your first appointment. Before your appointment, please download and bring your new patient form, and have your doctor’s office send all relevant medical records.

Download New Patient Form Download Release of Information Form

No Surprises Act Balance Billing Protections

The law requires health care providers to give patients who do not have health insurance coverage or who are not using health care coverage, a good faith estimate of their bill for health care services.

Your Rights and Protections Against Surprise Medical Bills

For more information about your rights under this act:

Patient Education Resources

Primary Immunodeficiency Diseases (PIDDs)

Immune Deficiency Foundation Logo

The Immune Deficiency Foundation improves the diagnosis, treatment, and quality of life of people affected by primary immunodeficiency through fostering a community empowered by advocacy, education, and research. There are approximately 250,000 people who are diagnosed with PI in the US, and thousands more go undetected. IDF helps individuals overcome difficulties associated with their condition.

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Jeffrey Modell Foundation Logo

The Jeffrey Modell Foundation is a global patient organization devoted to early and precise diagnoses, meaningful treatments, and ultimately, cures — through clinical and basic research, physician education, patient support, advocacy, public awareness, and newborn screening. JMF has organized more than fifty scientific symposia, including global meetings, in collaboration with the World Health Organization (WHO).

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Hereditary Angioedema (HAE)

US Hereditary Angiodema Association Logo

The US HAEA provides the HAE community with a personalized support network and a wide range of services to help them lead a normal life. Their mission is to lead a nationwide advocacy movement that focuses on increasing HAE awareness and education, empowering patient access to suitable treatment, and fostering groundbreaking research that includes searching for a cure.

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National Organizations

AAAAI Logo

The American Academy of Allergy, Asthma & Immunology (AAAAI) is a professional organization with more than 7,000 members in the United States, Canada, and 72 other countries. This membership includes allergist/immunologists, other medical specialists, and allied health and related healthcare professionals — all with a special interest in the research and treatment of allergic and immunologic diseases.

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International Organizations

International Nursing Group for Immunodeficiencies Logo

The International Nursing Group for Immunodeficiencies (INGID) was formed in 1994 by nurses who were working with children and adults diagnosed with primary immunodeficiency disorders. INGID is run by members, for members. It is managed by a Board of experienced nurses in immunology who are volunteers and who are elected at the INGID conference that is held every two years in a different country.

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