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New Allergy Patient Questionnaire Sanjay Patel M.D. Jennifer Rumple, M.D. Jillian Dietz, APN Patient Name: Date of Birth Date of Visit: Referring Physician letter sentinels (nurse only): Ht WT BP
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How to fill out sublingual immunoformrapy treat allergies

01
Step 1: Wash your hands thoroughly before handling the sublingual immunoformrapy (SLIT) treatment.
02
Step 2: Carefully open the packaging of the SLIT treatment.
03
Step 3: Place the SLIT tablet or drops under your tongue as directed by your healthcare provider.
04
Step 4: Allow the tablet or drops to dissolve completely. This may take a few minutes.
05
Step 5: Avoid drinking, eating, or swallowing for at least 2 minutes after taking the SLIT treatment.
06
Step 6: Follow the recommended dosage and frequency as prescribed by your healthcare provider.
07
Step 7: Store the SLIT treatment according to the package instructions to maintain its effectiveness.
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Step 8: Keep track of any adverse reactions or side effects and inform your healthcare provider.

Who needs sublingual immunoformrapy treat allergies?

01
Sublingual immunoformrapy (SLIT) is typically recommended for individuals who have allergies to specific substances, such as pollen, dust mites, pet dander, or certain foods.
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It may be suitable for people who experience symptoms like hay fever, allergic rhinitis, or asthma triggered by these allergens.
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However, the decision to undergo SLIT should be made in consultation with a healthcare provider who can evaluate the individual's specific condition and medical history.
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Sublingual immunotherapy is a form of allergy treatment that involves placing a small dose of allergens under the tongue to help the immune system build tolerance to specific allergens over time.
Patients who are receiving sublingual immunotherapy for their allergies are typically required to report their treatment to their healthcare provider or relevant medical authorities.
To fill out documentation for sublingual immunotherapy, you will need to provide personal health information, details of the allergens being treated, dosage instructions, and consent from the patient.
The purpose of sublingual immunotherapy is to reduce the patient's sensitivity to allergens, thereby decreasing allergy symptoms and improving quality of life.
Information to be reported includes patient identification details, specific allergens, treatment protocol, dosage, and any observed reactions or side effects during treatment.
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