Patient Forms

Download patient forms

Download the Allergy Partners Patient Profile Form (PDF/45k)

Download the Allergy Partners Privacy Notice Form (PDF/62k)

All forms are in the Adobe Acrobat® PDF format. You will need the free Acrobat Reader®. Click here to get the free Acrobat Reader® or click on the graphic below.

Sean Lucas, MD, MPH
Sean Lucas, MD, MPH's Photo

Medical School:
East Carolina University School of Medicine

Residency:
Medical University of South Carolina, Pediatric

Fellowship:
University of Virginia, Adult & Pediatric Allergy, Asthma, & Clinical Immunology

Board Certified:
Adult & Pediatrics, Allergy & Immunology                                                 American Board of Pediatrics

Professional Societies:
The American Academy of Allergy, Asthma & Clinical Immunology
The American College of Allergy, Asthma & Immunology
The American Academy of Pediatrics

Locations:
Allergy Partners of Coastal Carolina
2321 Delaney Avenue
Wilmington, North Carolina 28403
(910) 763-1661

Allergy Partners of Coastal Carolina
15444 Highway 17 North
Hampstead, North Carolina 28443
(910) 270-7797

Allergy Partners of Coastal Carolina
20 Medical Campus Drive
Suite 103
Supply, North Carolina 28462
(910) 755-6464





Ken Myers, MD
Ken Myers, MD's Photo

Medical School:
Medical College of Virginia

Internship:
Madigan Army Medical Center, Internal Medicine

Residency:
Madigan Army Medical Center, Internal Medicine

Fellowship:
Walter Reed Army Medical Center, Allergy & Immunology

Board Certified:
American Board of Internal Medicine
American Board of Allergy & Immunology

Professional Societies:
American College of Physicians
American Medical Association
American College of Allergy, Asthma, & Immunology

Locations:
Allergy Partners of Coastal Carolina
2321 Delaney Avenue
Wilmington, North Carolina 28403
(910) 763-1661

Allergy Partners of Coastal Carolina
20 Medical Campus Drive
Suite 103
Supply, North Carolina 28462
(910) 755-6464

Allergy Partners of Coastal Carolina
814 Spivey Road
Whiteville, North Carolina 28472
(910) 640-1750





Alex Yip, MD
Alex Yip, MD's Photo

Medical School:
Boston University School of Medicine

Internship:
Cornell Medical Center, Pediatrics

Residency:
Cornell Medical Center, Pediatrics

Fellowship:
Children's Hospital of Philadelphia, Allergy & Immunology

Board Certified:
American Board of Allergy & Immunology
American Board of Pediatrics

Professional Societies:
American College of Allergy & Immunology
American Academy of Allergy & Immunology

Locations:
Allergy Partners of Coastal Carolina
2321 Delaney Avenue
Wilmington, North Carolina 28403
(910) 763-1661

Allergy Partners of Coastal Carolina
15444 Highway 17 North
Hampstead, North Carolina 28443
(910) 270-7797

Allergy Partners of Coastal Carolina
814 Spivey Road
Whiteville, North Carolina 28472
(910) 640-1750