Allergy Injection Patients:
All patients must complete this questionnaire prior to their allergy injection. Hard copies can be found next to the injection sign in sheet in our office.
Are you pregnant?
Have you been diagnosed with a new medical condition?
Are you on any new medication? Any eye drops, antibiotics, beta blockers?
Have you forgotten to take your regular medications today?
In the past week, have you had increase in asthma symptoms (chest tightness, wheezing, shortness of breath)?
In the past week, have you had increase in allergy symptoms (itchy eyes or nose, sneezing, runny nose, post nasal drip or throat clearing)?
Have you exercised in the past hour or plan on exercising 1 hour after your allergy injections? Exercise includes walking the stairs to our office.
Did you have any problems such as increased allergy or asthma symptoms, hives, or generalized itching within 12 hours of receiving last injection?
Patients must wait 30 minutes after every injection
Monday: 12 noon - 4 pm & 5 pm - 7:30 pm
Tuesday: 9 am - 11:30 am & 1 pm - 4:30 pm
Wednesday: 7 am - 11 am & 12 noon - 4:30 pm
Thursday: 12 noon - 4 pm & 5 pm - 7:30 pm
Friday: No Injection Hours
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