Allergy Options Forms

I understand that skin testing for allergies involves placing small amounts of allergens on or under my skin to determine what substances I may be allergic to.

Possible Reactions:

• Local itching, redness, and swelling at test sites (common)
• Larger local reactions lasting 1-2 days (uncommon)
• Systemic allergic reaction including anaphylaxis (rare)

Requirements:

• Stop antihistamines 5-7 days before testing
• Notify staff of all medications
• Remain in office for observation after testing

Insurance Billing:

We bill your insurance as a courtesy. You are ultimately responsible for all charges.

Copays & Deductibles:

All copays, coinsurance, and deductibles are due at time of service.

OIG Compliance:

Federal regulations prohibit us from waiving copays, coinsurance, or deductibles.

Past Due:

Accounts past due over 90 days may be referred to collections.

Immunotherapy involves injections of allergens to build tolerance over 3-5 years.

Benefits:

• Reduced allergy symptoms
• Decreased need for medications
• Possible prevention of new allergies

Risks:

• Local: Redness, swelling at injection site (common)
• Systemic: Hives, congestion, asthma symptoms (less common)
• Anaphylaxis: Severe reaction (rare ~1 in 1 million)

Grace Period Option:

We offer a 2-day grace period that may combine charges when you receive injections within 2 days of an office visit, potentially reducing costs.

Build-Up Phase:

Injections 1-2 times per week with increasing doses. Lasts 3-6 months.

Maintenance Phase:

Injections every 2-4 weeks. Continues 3-5 years.