PLEASE BE SURE TO FILL OUT ALL FORMS UNDER ALL SECTIONS
The following forms are available for download in PDF format: New Patient Registration, Privacy Disclosure, Acknowledgement of Receipt of Privacy Policies, Consent for Disclosure of Information, Authorization to Release Medical Records, and Consent Form. Filling out these forms prior to your appointment will expedite your check-in process and help us serve you more efficiently at your new patient appointment. Please click on the link to each form to download to your computer. Download the FREE Adobe Acrobat Reader to open and print the forms.
New Patient Registration Forms
- Authorization to Use or Disclose Protected Health Information
- Privacy Disclosure
- Acknowledgment of Receipt of Privacy Policies
- Permission to Treat A Minor
- Portal Benefit Assignment
- Portal Skin Testing
**Please note that the Acknowledgment of Receipt and Consent for Disclosure forms should be brought to your appointment. You should read the privacy disclosure and retain a copy for your records before signing the Acknowledgment and Consent forms **
What to expect at your Allergist’s office
Prepare for your appointment
Please arrive 15 minutes before your scheduled appointment. This will allow us the time to:
- Receive and review all forms for your visit
- Scan and update your insurance cards
Before the physician sees you
You will first meet with the Nurse who will check your vital signs including blood pressure, pulse and respiratory rate. Additionally, a lung function test may be performed. Your medications and other medical information will be reviewed at this time.
Your Allergy Provider will then review your History Form and get a detailed history of your symptoms, including the severity, your response to past treatments, and your symptom’s relation to possible allergy exposure.
The Provider will then perform a physical examination that generally focuses on your ears, nose, throat, eyes, lungs and skin. This examination looks for signs of allergic disease including, nasal allergies, asthma and skin-related allergies such as contact dermatitis, hives or eczema.
After the history and physical examination, your Provider will discuss with you whether further testing is indicated. This may include skin testing or blood tests to clarify what allergens you or your child may be reacting; additional lung function testing and/or radiological exams, i.e. sinus CT scan or chest x-ray. More detailed descriptions of the most commonly ordered tests are found below.
Finally, a comprehensive evaluation of your problems and an individualized, detailed plan of treatment will be discussed with you.
Other tests available
Breathing (Lung Function) Tests
Spirometry or Lung Function Tests are some of the most important tests in determining a management strategy for asthma and other lung illnesses. They measure airway obstruction and response to therapy with bronchodilators. These tests are an important diagnostic tool when diagnosing asthma, assessing its severity, and in determining if medication and/or dosing is optimal for controlling it.
Allergy Skin Tests
Skin testing involves introducing a small amount of allergen just under the skin surface by pricking the skin with a drop of the allergen extract using a sterile, disposable plastic prick test device that looks like a small toothpick. The sensation is generally not uncomfortable even for children. If the patient is allergic to the substance, itching of a mild to moderate degree may be experienced.
These can be placed on the arm or back, depending on the age and size of the patient and the number of tests being done.
The staff then waits approximately 20 minutes to see if reddish, raised welts called wheals, form— possibly indicating an allergy.
These tests are the most accurate/sensitive tests.
Antihistamines may prevent skin tests from reacting. Please see the list of common antihistamines on our website, www.azallergy.com. This is not a complete list of all medications containing antihistamines; if you have any questions, please consult your pharmacist.
The most common side effect of skin testing is slightly swollen, red, itchy bumps. These may be most noticeable during the test; however, redness and itching may develop a few hours after the test and may persist for as long as a couple of days.
Sometimes your Allergist will order a blood test (ImmunoCap® Assay, formerly known as RAST®) to look for allergic antibodies to food or airborne allergens. These can be used to confirm the likelihood of a reaction to allergens and may also be used to follow the progress of food allergy over time.
ImmunoCap® Assay testing is usually done when skin tests cannot be done, such as on patients taking certain medications, those with skin conditions that may interfere with skin testing, or in uncooperative patients. They are often done in conjunction with skin testing when assessing food allergies.
Before you leave your Allergist’s office, you will know the results of the skin prick tests.
A positive skin test means that you may be allergic to a particular substance. Bigger wheals usually indicate a greater degree of sensitivity. A negative skin test means that you probably are not allergic to a particular allergen.
Keep in mind skin tests are not always 100% accurate. You may react differently to the same test performed on different occasions or you may react positively to a substance during a test, but not react to it in everyday life.
Your allergy treatment plan may include medications, immunotherapy, changes to your work and/or home environment or dietary changes. Ask your provider to explain anything about your diagnosis or treatment that you don’t understand. With test results that identify your allergens and a treatment plan to help you take control, you’ll be able to reduce or eliminate allergy symptoms.
Allow about 90 minutes for your first appointment. This will consist of a patient interview/history and a physical examination. Please review the instructions for skin testing as we may be able to perform testing at your initial appointment. **Insert link to antihistamine list**
Allergy testing can be performed in two different ways: skin puncture/prick testing and blood testing. The testing method and number of tests will be determined by the physician at your initial visit.
An Allergist who is Board Eligible or Certified must complete a minimum of five years of postgraduate training (after graduating from medical school). The first three years are spent completing a Pediatric or Internal Medicine residency (training program) and the subsequent two or three years are spent completing an Allergy/Immunology fellowship (training) program.
We accept most major insurance plans. However, please contact your primary care physician, insurance company or our office for more information.
I have heard about allergy shots - how long would I need to receive them if they are prescribed by the Doctor?
In general, current recommendations are for a minimum of three to five years of allergy injections (immunotherapy). However, each person is different and therapy will be modified individually.
Again, each individual will have a different response. But, it may take up to one year before improvement is seen.
Allergy injections are currently considered to be the most effective means of allergy desensitization (allergen immunotherapy). Currently, other methods are considered to be unproven, alternative methods of treatment. Oral allergy extracts are not FDA approved at this time.
Thank you for choosing Arizona Allergy Associates (AAA) as your allergy and immunology health care provider. We are committed to your treatment being successful. Your clear understanding of our Patient Financial Policy and Cancellation/No Show Policy is important to our professional relationship. Please ask if you have any questions about our fees, our policies, or your responsibilities.
We request ALL patients complete our Patient Information Form prior to seeing the provider and annually thereafter. It is your responsibility to notify our office of any patient information changes (i.e. address, name, insurance information, etc.) It is the patient responsibility to provide the office with current insurance information. We will ask for your insurance card at your first visit to obtain a copy for our records. We may occasionally request a copy at a later date to update your records so please have your insurance card every time you come to the office. If current information is not obtained at the time of service, it will become the patient’s responsibility to pay until current information is provided to the office.
Your insurance is a contract between you and your insurance company. We are contracted with most insurance plans and will file claims and process these as required by these contracts. We will file a claim for you as a courtesy if we are not contracted with your insurance carrier/plan. We will not become involved in disputes between you and your insurance carrier. This includes, but is not limited to, deductibles, co-payments, non-covered charges and “usual and customary” charges. We will supply information as necessary to you and/or your insurance company. You are ultimately responsible for the timely payment of your account.If your insurance company does not pay us within a reasonable time, we may look to you for payment for services rendered. All plans are not the same and they do not cover the same services. In the event your insurance company determines a service provided was “not covered”, you will be responsible for the complete charge. This office is not responsible for disputing insurance company decisions regarding coverage. We expect that you know your insurance benefits, including but not limited to, deductible, co-payment amounts, laboratory services, radiology facilities and hospitals associated with your plan. We will provide a cost estimate to you upon request. It is your responsibility to notify this office when your insurance company or plan benefits change. Any charges that remain uncovered because of incorrect information provided to us by you or your representative will become your responsibility. If you are covered by an insurance plan that AAA is not contracted with or participates with, or you have no insurance coverage, our charge for your care or the care of your dependents will be due at the time of service. Payment is due upon receipt of a statement from our office.
If you need an insurance referral from a primary care physician, make sure the referral is in our office BEFORE YOUR SCHEDULED APPOINTMENT. Fax: 480-839-1874. You may call our office to see if you need a referral form.
ARE DUE AT THE TIME OF SERVICE PRIOR TO SEEING THE PROVIDER. There will be a $25.00 charge added if we have to bill for the co-payment. We do not accept Cash, American Express or Discover. Payment is accepted with Visa, MasterCard, personal check, Cashier’s check, or Money Order with valid ID only. Please take time to read our full Financial Policy and Waiver; Cancellation/No Show Policy and Patient Information Form – these are very important documents and require your understanding and signature PRIOR to you being seen. Note: A fee of 40% will be added to unpaid balances that require collection and/or legal services.
CANCELLATION/NO SHOW POLICY
In order to ensure that the quality of patient care is maintained and all patients can be accommodated, it is important that you notify our office of your intentions to cancel or change your appointment at least twenty-four hours (24) prior to your scheduled appointment by calling (480) 897-6992. If you have an appointment scheduled on a Monday you may leave a message over the weekend on the voicemail or use the patient portal at www.azallergy.com to notify us. If no call is received within this time period you will be considered a “no show” and a $75.00 charge may be assessed. Note: This assessment will not be charged to your insurance company, you will be solely responsible for payment.
Please take the time and consideration needed to provide the proper notification of your intent to cancel your visit with your provider. We understand that there are emergencies and/or obligations that will require you to miss a scheduled appointment without notification, we will take these instances into account, however, we strongly encourage you to inform us as soon as possible so that we can accommodate another patient in that visit slot. If you have three or more missed appointments, we reserve the right to discharge you from the practice. If discharged, you will be notified in writing via Certified Mail.
We reserve the right to charge for copies of your patient records. You may request a copy of records annually at no cost. There is no cost to copy records for other physician offices. A charge of $25 may be assessed for any forms that need to be filled out by our providers. This will be collected prior to the paperwork being completed. If forms are faxed to the practice, payment will be required by credit card prior to paperwork being completed.
All of Our Physicians are Board Certified by the American Board of Allergy and Immunology. All of our physician assistants are board certified. Our offices are conveniently located throughout the “Valley of the Sun” in Phoenix, North Scottsdale, Chandler, and East Mesa, Our Physicians have won many awards, including multiple “Top Docs” awards from Phoenix Magazine.
ANTIHISTAMINES TO AVOID PRIOR TO TESTING
Patients are required to be off of antihistamines for 5 days in order for skin testing (allergy testing) to be performed. Below is a list of common antihistamines.
- Advil PM
- Alka Seltzer Plus Cold
- Astelin Nasal Spray
- Dimetapp Cold & Allergy
- Hycomine Compound
- Pepcid (famotidine)
- Tagamet (cimetidine)
- AlavertTylenol Allergy
- Tylenol Cold
- Tylenol Flu
- Tylenol PM
- Xyzal (levocetirizine)
- Zantac (ranitidine)
- OTC cough & cold medications
- OTC sleep medications
- Nyquil: Any medication with “sinus”, “allergy”
or “hist” in the name
- Eye drops: Patanol, Pataday, Pazeo Zaditor/Alaway
- Nasal Spray: Patanase, azelastine, astelin
- Item 1
- Item 2
- Olapatadine eye drops
- Olopatadine nasal spray
- Ketotifen eye drops