Allergy Drops Questionnaire

Gradient Top Gradient Bottom
1.866.633.7677

Questionnaire for patients on Allergy Drops

  1. (required)
  2. (required)
  3. 1. Did you miss more than 2 weeks of your allergy extracts?
  4. 2. Are you taking any new medications since your last office visit?
  5. If yes, please name:
  6. 3. Is there any change in your physical health: pregnancy, ill health?
  7. 4. Did you note any adverse reaction while using the last set of extracts?
  8. I acknowledge receiving the extracts (drops).
  9. Captcha
 

cforms contact form by delicious:days

Common Allergies NYC Allergy Doctor

New York Office
57 West 57th St, Suite 601,
NYC NY 10019
Call: 212.397.0157

Rockville Center Office
165 North Village
Avenue, Suite #129
Rockville Centre, NY 11570
Call: 516.678.9600

Allergy Relief
Forbidden Fruit in the Spring Allergy Season

I saw several youngsters this past week in my office, ages 5 to 13, really getting pounded with allergies. One boy’s face was swollen and… read more

Dr. Oz and Dr. Dean Agree: Sublingual Allergy Drops Can Help Allergy Patients!

I watched with excitement last Tuesday as Dr. Oz presented his show: The Worst Allergy Season Ever! I was curious if he was just going… read more

Read all articles
Allergy Resources
Allergy Treatment