New Patient Registration

Financial Policy

Once all completed forms have been received and reviewed, our office will contact you to schedule your New Patient Appointment.

Appointments and Policies Please refer to the “Notice of Cancellation Policy and No-Show Fee” for details.

Reminder calls are provided as a courtesy. **You will receive instructions regarding our Testing Appointments Policy. Please carefully review all medication instructions included in your packet. Certain medications must be stopped prior to allergy testing. If instructions are not followed, testing may need to be rescheduled. Patients under the age of 18 must be accompanied by a parent or legal guardian (or provide written parental consent) for all visits. The accompanying adult is responsible for providing current insurance information and payment of any co-pays, co-insurance, or deductibles due at the time of service. Please note that we do not become involved in custody or divorce disputes.  

Please verify with our office whether we participate with your insurance plan, as participation can change. It is the patient’s responsibility to understand their insurance benefits. Patients are responsible for balances in accordance with their insurance plan benefits.

Written authorization is required to release medical records. Please allow up to 14 business days for processing. Paper copies -$0.75/page.

To help ensure accurate billing and timely claims processing, we ask: Bring all current insurance cards to every visit Provide a valid photo ID (required to help prevent insurance fraud) Obtain all required referrals prior to your appointment (if your plan requires one). Appointments without proper referrals may need to be rescheduled and may incur charges. Notify us promptly of any changes to your insurance or contact information Please understand that our relationship is with you, not your insurance company. All charges are the patient’s responsibility. If an insurance company has not paid within 60 days, the balance becomes due from the patient. You are welcome to request a cost estimate prior to your visit. Payments and Billing Co-pays are due at the time of service. A $20 billing fee applies if co-payments are not paid at the visit. Patients with high-deductible plans should be prepared to pay deductible and co insurance amounts at the time of service.

 A $5 monthly billing fee applies to balances over 30 days Patient statements are primarily delivered electronically for faster access. We understand financial hardships can occur. Please contact our billing office if you need assistance. We are happy to discuss payment arrangements when appropriate.

By signing below, I acknowledge that: I have read and understand the AADO Financial Policy I authorize release of medical information necessary for insurance billing I authorize payment of benefits directly to my provider (when applicable) I understand that no-show fees are not covered by insurance and must be paid before future appointments can be scheduled I understand that supplies purchased in the office are not billable to insurance and are due at the time of service I understand I am ultimately responsible for all charges on my account I agree to notify the office of any insurance or health status changes If my account is sent to collections, I agree to pay collection fees (greater of $25 or 30% of balance), plus any applicable attorney fees Acknowledgement of Financial Policy We are honored that you have chosen Allergy & Asthma Diagnostic Office for your care.

Our goal is to provide excellent medical care while also being transparent about financial responsibilities.

If you have any questions about this policy or your account at any time, please do not hesitate to contact our billing team—we are always happy to help.  

New Patient Appointment Instructions 

Welcome! 
 To ensure your initial visit is as productive as possible, please carefully read all enclosed materials before your appointment. If you have any questions, please contact our office prior to your scheduled visit. 

Fragrance-Free Policy 
For the safety of our patients with allergies and asthma, we ask that you abstain from wearing any perfumes, scented lotions, body sprays, or colognes to your appointment. Cigarette and marijuana smoke can also be a big trigger for sensitive lungs. We ask for you to be respectful of the sensitive lungs around you! Thank you for helping us maintain a safe environment!

Important Medication Instructions 
Some medications may need to be stopped prior to testing. There are certain medications, like antihistamines, that will affect the validity of allergy testing. Please review all cold, allergy and over-the-counter medications carefully. 

Stop the following medications 7 days before appointment: 

• Allegra / Allegra-D (Fexofenadine)
• Atarax / Vistaril (Hydroxyzine)
• Axid (Nizatidine)
• Clarinex / Clarinex-D (Desloratadine)
• Claritin / Claritin-D / Alavert (Loratadine)
• Cyproheptadine
• Orange juice 
• Pepcid (Famotidine)
• Probiotics 
• Semprex-D
• Tagamet (Cimetidine)
• Vitamins and supplements (Especially Vitamin C)
• Xyzal (Levocetirizine)
• Zantac (Ranitidine)
• Zyrtec / Zyrtec-D (Cetirizine)

Stop the following medications 3 days before appointment: 

• Astelin / Astepro / Dymista (Azelastine)
• Benadryl (Diphenhydramine)
• Chlorpheniramine
• Cyclizine
• Dimetapp
• Doxylamine
• Dramamine (Dimenhydrinate)
• Patanase
• Patanol / Pataday (Olopatadine)
• Promethazine
• Tavist / Tavist-D

Special Circumstances
You do not need to stop antihistamine/medications if you have concerns about a bee/venom reaction or antibiotic reactions, as these have specialized testing that would need to be scheduled for a future appointment. 

Breathing Test
If you have concerns about asthma or breathing issues, are over the age of 5, and it be deemed appropriate by the provider, you will likely be scheduled for a breathing test or a pulmonary function test (PFT). We ask that you do NOT take any oral, inhaled or nebulized bronchodilators on the day of your appointment*, including but not limited to the following: 

• Advair (Fluticasone-Salmeterol)
• Airduo
• Airsupra
• Atrovent / Combivent 
• Breo 
• Breztri 
• Serevent
• Spiriva
• Symbicort (Budesonide-Formoterol)
• Trelegy
• Xopenex (Levalbuterol)

*Important: If you experience shortness of breath, wheezing, chest tightness, severe cough, please use your inhaler or nebulizer as needed for safety. 

You may continue taking any of the following medications:

• Accolate
• Oral or inhaled steroids
• Singulair (Montelukast)
• Theophyllines
• If you are unsure about a medication, please call our office to confirm. 

What to Bring 

• A complete list of all current medications
• Recent bloodwork (if available)
• Recent sinus or chest X-rays (if available)
• Hair tie (to pull back long hair for testing purposes)

What to Expect
Your initial appointment will likely last between 2-4 hours, so we ask that you plan accordingly! Initial visits may include the following: 

• Consultation with a provider 
• Physical Exam 
• Allergy Testing 
• Pulmonary Function Test (only for those with asthma/breathing concerns or if indicated by a provider)

Additional Policies: 

• Failure to cancel a new patient appointment with at least 24 hours' notice will result in a $150 no-show fee. 
• If medications were not stopped as instructed, testing cannot be performed. A consultation only will occur and then a separate testing appointment will need to be scheduled.

Thank you for reviewing this information. Your health matters to us, and we look forward to caring for you.
– The Staff at Allergy & Asthma Diagnostic Office