Before & During Your Visit

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You should refrain from taking antihistamines for one week prior to your initial visit, since they interfere with skin testing. Asthma medications, such as inhaled or oral corticosteroids, leukotriene antagonists, cromolyn, and inhaled or oral bronchodilators (beta agonists or theophylline compounds) should not be stopped. If you have any questions about withholding medications, please contact one of our offices.

Please read and complete any forms that have been sent and be sure to bring any pertinent medical records and x-rays to your first appointment. You should also bring a list of medications you are taking or the medications themselves, including over-the-counter medications.


Initial Evaluations

Your initial evaluation will last one to three hours, depending on the amount of testing needed. You will be seen by one of our physicians, who will take a detailed medical history and perform a physical examination. The physician will conduct or schedule specific diagnostic tests. These might include skin testing, spirometry, blood tests, or x-rays. The physician also will review the results of these tests with you and propose a specific treatment plan. After your visit, our findings and recommendations will be sent to your referring physician.


Spirometry is an easily performed test that measures the amount of air the lungs can hold and the rate at which air can be exhaled. It is used to diagnose conditions such as asthma and to assess response to therapy.

Skin Testing

Intradermal skin testing is done to determine sensitivity to a variety of substances. This may be done at your initial visit or scheduled for a subsequent visit. We would suggest allowing one to three hours for this visit, as time is required after the application of the skin tests for results to appear.