General Allergy Injection Procedure

  1. Please check-in at the front desk before every appointment/shots
  2. When your name is called, we will take you to a treatment room
  3. We may also confirm by checking your address
  4. We will ask if you had any problems with your last injection after you left the office. Specifically:
    1. Bumps at the site that may have developed or enlarged
    2. Itching away from the injection site
    3. Hives
    4. Sneezing
    5. Shortness of breath, wheezing or chest tightness
    6. Throat tightness

If any of these symptoms, or other concerns or questions have arisen, now is the time to discuss these concerns, NOT after you have received your injection. (See Allergy Injections Reactions).

  1. We will need to be able to get to your upper arm to give your injection, so you may want to consider wearing short sleeves and/or easy clothing to remove on days you plan on getting an injection.
  2. Allergy injections are given in the outer aspect of the upper arm. Other areas of the arm will increase the irritation or may affect local nerves. Please do not ask for an injection in any other place.
  3. After your injection you are REQUIRED to wait 30 minutes in the waiting room. This is for your safety in the event of serious side effects developing. Remember: A systemic life-threatening reaction may occur at any time, even after years of trouble free injections.
  4. Have your arm checked before leaving the office.
  5. If you are a new injection patient, you may come in twice a week in order to reach your maximum concentration or maintenance dose as quickly as possible. Thereafter you can come in weekly. The injectionist will discuss this with you. (See Allergy Extracts).
  6. Reordering antigen. Insurances will require us to make up either a 3 or 6 month supply of antigen. We will have you sign an authorization form with each reorder.
  7. Vacations. Please get an injection immediately before leaving on vacation and upon return. This minimizes the impact of being off your injections for an extended period of time.
  8. Please notify us of any new medications prescribed by other physicians. Some medications (specifically beta-blockers­meds ending in “lol” as in “Atenolol”, (see the list of Medications interacting with injections) are contraindicated if on allergy injections. If you are on a beta-blocker medication we will have to discontinue allergy injections and possibly change your other medications.
  9. Do not exercise or play sports 1 hour before or after receiving an allergy injection
  10. Do not get another injection/immunization on the same day (i.e. MMR, Tdap, Influenza, Pneumonia, etc.)
  11. Women – Please notify us immediately if you become pregnant.
  12. Please notify us immediately of any address or insurance change. If we are not notified of insurance changes you may be liable for charges incurred.

Do not get an injection if:

  • Running a fever
  • Experiencing asthma symptoms of any degree
  • Feel ill enough to miss school/work
  • Have a rash or hives.

Call if you have any questions about receiving allergy injections when sick. (See Frequently Asked Questions).


NOTE: Not under any circumstances will patients be authorized to receive allergy shots outside the office.