Forms & Information

Allergy Resource Links ~ New Patient Forms ~ Allegery Shot / Office

Consultation for Allergy and Asthma – Working together with your primary care provider to provide you with excellent allergy care.

Evaluation and management – of food allergies, atopic dermatitis (eczema), allergic rhinitis (hay fever), indoor and seasonal allergies, urticaria/hives, drug allergy, allergic conjunctivitis/ocular allergy (itchy red watery eyes), venom allergy (bees, wasps, hornets) and asthma.

In office testing may include – NO NEEDLES*-allergy skin testing, challenges, and/or spirometry depending on your history. Although skin testing is well tolerated by children, we recommend that you leave other children at home as the child being tested will require your full assistance. (*intradermal test for adolescents and adults-not common)

Laboratory testing – may include: Immunocap-RAST (specific- IgE), Immunologic work-ups, etc They can take 2-3 weeks to fully result. If you have not heard back after 3 weeks, please call us. 

Lab requisition form: For follow up food allergy patients, if you would like to have Immunocap tests performed 2 weeks prior to your follow up appt and this has been agreed upon by the physician, then please send a self addressed stamped envelope with this request or a fax number to which we can fax the order for you.

Services – Allergy evaluation, consultation, Allergy Immunotherapy, desensitization, food challenges, medication administration, education, and management.

Patient education – on their diagnosis and when appropriate reviewed and provided an Emergency Food Allergy Action Plans, Environmental Allergy Action Plans, Asthma Action Plans, and Eczema Skincare Instructions.

Demonstrations – of how to use an epinephrine auto-injector, nasal sprays, inhalers, peak flow meters, spacer/holding chambers with MDI as well as nebulizers.

School forms – for allergy/asthma medications and Emergency Food Action Plan: Please drop off or mail with a self-addressed stamped envelope. Please allow 2-3 weeks to be completed. All forms need to be filled out with complete patient information by parents except for section for a medical provider, otherwise will not be accepted.  *FEE of $10 per FORM, PLEASE INCLUDE PAYMENT, EITHER CREDIT CARD or CHECK FOR THE PROPER AMOUNT WITH YOUR FORM REQUEST TO PREVENT DELAYS, you can also pay online at our home page or call in with credit card information or pay at them the time of the visit. Please complete the parent and patient portions before submitting them to us. If you would like them faxed to the school or camp nurse, please provide their fax number. Please make sure your child’s name is on the form and the name of the medication for which you are requesting the form. If we have not seen your child in the past 12 months we can not complete a health or medication form. They are only valid up to 12 months since we last saw your child.

FLU VACCINE TESTING FOR EGG ALLERGY PATIENTS: IF YOUR CHILD HAS A SEVERE EGG ALLERGY AND CANNOT TOLERATE EGGS IN BAKED GOODS. Like all allergy skin tests, please stay off antihistamines for 5 days prior to the Flu vaccine testing appt.

Please call to make reservations in June-July for our patients who have been diagnosed to be allergic to eggs and need testing for the influenza vaccine. You must be an established patient and have been evaluated within the past 12 months for a current accurate egg allergy status. Please call our office and reserve a vaccine for administration. Be sure to indicate your child’s age as well as whether or not this is their first time ever receiving the flu vaccine as 2 doses would need to be reserved. $30 will be charged to your credit card per dose reserved if you cancel or no show to your appointment less than 2 business days as we are holding the vaccine dose for your child specifically. Appts are September-December. *****Reminder to stay off any antihistamines for 1 week prior to your child’s appt as we will be performing allergy skin testing to the influenza vaccine. ***THIS SERVICE IS FOR PATIENTS WITH SEVERE EGG ALLERGY WHO ARE NOT ABLE TO TOLERATE EGGS IN BAKED GOODS *****

Medical records – as a courtesy, we will fax lab and test results to your referring physician’s office however a copy of the medical records that are mailed to medical office or self will be $30 plus $1 per additional page after 10 pages. To pick up a copy of your medical records or to have a copy of your medical records faxed to yourself is $20 plus $1 per additional page after 10 pages.