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Allergy Forms

If you are planning to receive allergy injections at our office, you will need to print, read, and sign these documents prior to receiving any allergy injections at SHS. Bring these forms along with your insurance information to your first allergy injection appointment.
 
 
**You will need multiple copies of the Allergy Injection Order Form (below). Please read the following instructions. Your allergist will need to complete this form with the current orders and instructions. A separate sheet must be completed for each vial of serum that is sent. You will need to provide multiple copies, so please check with your allergist for the amount they will need. These forms must be sent along with the vials.