NEW PATIENTS: Download, Print, Fill out Forms

Welcome

Our practice provides outstanding care to adults and children with allergies, asthma, and food allergies throughout Fairfield and New Haven Counties. We offer compassionate, honest, and personal care in a comfortable, convenient setting. We also have early morning and evening hours to accommodate your busy lifestyle.

Our Practice

Food Allergy Center of Connecticut
Hospital Affiliations
Managed Care & Insurance
NEW PATIENTS: Download, Print, Fill out Forms
Offices & Hours
Our Physicians
Our Services
What about allergy drops?

Allergy and Asthma Care of Fairfield County
Food Allergy Center of Connecticut
Dr. Kenneth Backman • Dr. Irena Veksler • Dr. Katherine Bloom

Please click to download and fill out both the patient information form and allergy history form below, and then bring them with you for your appointment.

Allergy History

Patient information