Forms

Downloadable Forms:

 

1. Patient Packet

2. Consent by Proxy for Non-Urgent Medical Care of Minor

 

Please note: These forms are in Adobe Acrobat format and should be completed and printed prior to coming in for your appointment.

Breathe Again

Antihistamines and Drugs That May Affect Testing:

 

Please be off the following medications a minimum of the times listed. If you’re unsure feel free to contact us!

 

 48 hours – All regular antihistamines, antihistamine/decongestant combinations, OTC (over-the-counter) cold/cough preparations, sleep aids like Tylenol P.M. or Excedrin P.M.

 3 days – Emadine Eye Drops

 4 days – Allegra/Allegra D (Fexofenadine), Astelin Nose Spray (Azelastine), Optivar Eye Drops (Azelastine), Astepro Nose Spray

 5 days – Zyrtec/Zyrtec D (Cetirizine), Zantac (Ranitidine), Atarax (Hydroxyzine),  Vistaril, Periactin, Axid (Nizatidine), Tagamet (Cimetadine), Xyzal (Levoceterizine)

 7 days – Claritin/Claritin D/Claritin D-24 (Loratadine), Alavert, Clarinex/Clarinex D (Loratadine), Patanase, Famotadine (Pepsid)

 

For example: If your appointment is on a Thursday, and the length of time to be off the medication you are taking is 4 days, take your last dose on the Saturday before your appointment.

 

*** NOTICE *** IF TAKING ANY MEDICATION FOR SWELLING OR HIVES, PLEASE DO NOT STOP TAKING THEM!

Please call our office at (734) 394-2661 if you have any questions regarding medications that you are taking.

For asthma care from the most experienced, trusted doctors in metro Detroit, call Canton Asthma & Allergy.