Patient Forms
Your First Appointment
We look forward to meeting you and helping you with your allergy or asthma conditions. You must arrive 15 min before your appointment time to complete your registration, insurance information, medical history and preventative care measures. Please bring the following with you at the time of your appointment:
- Patient’s insurance card
- List of current prescriptions and/or over-the-counter medication, including dose and frequency
- Information about patient’s medical and surgical history
- Recent test results, x-rays, or relevant records
Please be courteous. We ask not to bring food or drinks into the waiting room. Once you are in the exam room, please turn off your cell phone.
When You Are Late For an Appointment?
Your time is valuable-and so is the doctor’s
- Please be prompt.
- New Patients are required to arrive 15 minutes prior to their appointment time.
- If you arrive 10 minutes or more after your routine appointment time, your appointment may need to be rescheduled.
Cancelling Your Appointment
Please give 24 hours advance notice.
- A $30 fee will be charged for each no show or late cancelation on office visits.
- A $50 fee will be charged for any no show or late cancelation on procedures such as a Skin Test, or Pulmonary Function Test.
- Please call us as soon as you know you won’t be able to make your appointment. Calling the day before will help us to make that appointment available to someone who may need urgent or sick visit.
- If you are a new patient and you do not show up to 2 consecutive appointments, and you do not call to cancel, you will receive a call from our patient coordinator and a letter, which also will be sent to your insurance company; notifying you of your termination from our practice.
Insurance & Payment Information
Kern Allergy Medical Clinic accepts most major insurance plans, and is a Medicare provider. Payment for your visit is due at the time of service. You may have a copay, co-insurance or deductible that will be due at the time of your visit. For questions regarding Insurance coverage and benefits, please contact your insurance company. Our knowledgably and experienced billing department is ready to help you with payment and insurance related questions. For billing or to learn which insurance plans we accept, contact us. We accept all major credit cards.
Why wait 20 minutes after an allergy shot?
An allergy shot typically causes a mild local reaction to the skin with redness and swelling at the injection site. However, a more severe reaction can also occur that may involve itching, hives, swelling of the throat, tightness in the chest and trouble breathing, and even a life-threatening drop in blood pressure. These severe reactions usually occur within the first 20–30 minutes, and our trained staff has emergency equipment on hand to stop this reaction.
Privacy Practices
Our Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can get access to this information. It is given to all new patients, and a copy is available upon request. A copy of our Notice of Privacy Practices will soon be posted on this website.
