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.

Carrie DeLong, PA-C
Carrie DeLong, PA-C's Photo

Undergraduate Education:

University of North Carolina, Chapel Hill

BS Public Health- Nutrition 

Medical School:

Wake Forest University School of Medicine, Dept. of Physician Assistant Studies 

Board Certification:

North Carolina Medical License

Board Certified, Physician Assistant 

Professional Societies:

American Academy of Physician Assistants

American College of Allergy, Asthma and Immunology

North Carolina Association of Physician Assistants

Piedmont Association of Physician Assistants 

Accreditations:

Certified Asthma Educator

 

Locations:
Allergy Partners of the Piedmont
1372 Westgate Center Drive
Winston-Salem, North Carolina 27103
(336) 659-4814

Allergy Partners of the Piedmont
851 Old Winston Road
Suite 103
Kernersville, North Carolina 27284
(336) 993-9995

Allergy Partners of the Piedmont
911 Worth Street
Mount Airy, North Carolina 27030
(336) 789-9447

Allergy Partners of the Piedmont
1915 West Park Drive
Suite 105
North Wilkesboro, North Carolina 28659
(336) 667-6193





Ingrid "Susie" Hoffmann, MD
Ingrid

Medical School:
University of Cincinnati College of Medicine

Residency:
University of Louisville, Pediatrics

Fellowship:
Wake Forest University Baptist Medical Center, Allergy & Immunology

Board Certification:
American Board of Pediatrics
The American Board of Allergy & Immunology

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

Locations:
Allergy Partners of the Piedmont
1372 Westgate Center Drive
Winston-Salem, North Carolina 27103
(336) 659-4814

Allergy Partners of the Piedmont
851 Old Winston Road
Suite 103
Kernersville, North Carolina 27284
(336) 993-9995





Holly McPherson, M.D.
Holly McPherson, M.D.'s Photo

Medical School:
Medical University of South Carolina

Residency:
University of Louisville, Kosair Children's Hospital, Pediatrics

Fellowship:
University of Tennessee, Allergy & Immunology

Board Certification:
American Board of Pediatrics
The American Board of Allergy & Immunology

Professional Societies:
American Academy of Pediatrics
American College of Allergy, Asthma, and Immunology
American Academy of Allergy, Asthma, and Immunology

Locations:
Allergy Partners of the Piedmont
1372 Westgate Center Drive
Winston-Salem, North Carolina 27103
(336) 659-4814

Allergy Partners of the Piedmont
911 Worth Street
Mount Airy, North Carolina 27030
(336) 789-9447





Kent Nastasi, M.D.
Kent Nastasi, M.D.'s Photo

Medical School:
Louisiana State University School of Medicine

Residency:
University of Tennessee, Internal Medicine and Pediatrics

Fellowship:
University of Tennessee, Pediatrics, Clinical Immunology

Board Certification:
American Board of Internal Medicine
American Board of Pediatrics
The American Board of Allergy & Immunology

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

Locations:
Allergy Partners of the Piedmont
1372 Westgate Center Drive
Winston-Salem, North Carolina 27103
(336) 659-4814

Allergy Partners of the Piedmont
911 Worth Street
Mount Airy, North Carolina 27030
(336) 789-9447

Allergy Partners of the Piedmont
1915 West Park Drive
Suite 105
North Wilkesboro, North Carolina 28659
(336) 667-6193





Elizabeth Scannell, MD
Elizabeth Scannell, MD's Photo

Medical School:
Ross University School of Medicine

Residency:
Norwalk Hospital, Yale University School of Medicine

Fellowship:
Wake Forest University School of Medicine

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

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

Locations:
Allergy Partners of the Piedmont
1372 Westgate Center Drive
Winston-Salem, North Carolina 27103
(336) 659-4814

Allergy Partners of the Piedmont
851 Old Winston Road
Suite 103
Kernersville, North Carolina 27284
(336) 993-9995

Allergy Partners of the Piedmont
911 Worth Street
Mount Airy, North Carolina 27030
(336) 789-9447

Allergy Partners of the Piedmont
1915 West Park Drive
Suite 105
North Wilkesboro, North Carolina 28659
(336) 667-6193





Brian Stone, MD
Brian Stone, MD's Photo

Medical School:
Medical College of Georgia

Internship:
Carolinas Medical Center, Pediatric

Residency:
Carolinas Medical Center, Pediatric

Fellowship:
Bowman Gray School of Medicine, Allergy & Immunology

Board Certification:
American Board of Allergy & Immunology

Professional Societies:
American College of Allergy & Immunology
American Academy of Allergy & Immunology
Forsyth County Medical Society

Locations:
Allergy Partners of the Piedmont
1372 Westgate Center Drive
Winston-Salem, North Carolina 27103
(336) 659-4814

Allergy Partners of the Piedmont
1915 West Park Drive
Suite 105
North Wilkesboro, North Carolina 28659
(336) 667-6193