After completing your allergy testing and consultations with your physician, you have chosen to use Immunotherapy to treat your symptoms. To begin your treatment please read the Immunotherapy Consent Form in it’s entirety. If you have any questions please call one of our offices to speak with an allergy technician before signing and turning in the form. Extracts can not be made until this form is turned into the allergy clinic.

You may fax this form to:

ATTN: Allergy Clinic

970-493-9237 

Immunotherapy_Consent_Form

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