Option 1) Click here to download the referral form.
Option 2) Scroll down to fill out and submit the online form below.
What To Expect
Thank you for your referral.
To facilitate the consultation, please provide the referral form, a copy of the medical record as well as all laboratory test results. We will then contact the client to schedule a consultation.
Many initial consultations focus on addressing secondary infection as well as the underlying primary disease. Typically this involves an allergy work-up, biopsy or testing for hormonal conditions. Some medication protocols will require laboratory monitoring. As the patient becomes stabilized the long-term goal will be to see them every 6-12 months.
If non-dermatological problems are identified, the client will be referred to your practice.
You will be provided with a written report from each visit. Please feel free to contact our practice if there is anything you wish to discuss regarding the patient’s dermatological plan.
Withdrawal Times for Intradermal Skin Testing
**There is no withdrawal time needed for Apoquel, Cytopoint or Atopica**
|
Long-acting injectable steroids Depo-Medrol, methylprednisolone acetate |
28 days |
|
Oral steroids Prednisone, prednisolone, methylprednisolone (Medrol), Vanectyl-P, dexamethasone |
14 days |
|
Steroid-containing topical skin, ear and eye medications Cortavance, CortiPro, hydrocortisone cream/ointment, Isaderm, Topagen, Viaderm KC, Aurimic, Aurizon, Burow’s HC, Canaural, Claro, Easotic, Mometamax, Oridermyl, Osurnia, Otizole, Otomax, Pro-Otic HC, Surolan, Tresaderm, BNPH, prednisolone, Tobradex |
14 days |
|
Oral antihistamines and some tranquilizer medications Amitriptyline, diphenhydramine (Benadryl), hydroxyzine (Atarax), cetirizine (Reactine), chlorpheniramine (Chlor-Tripolon, Novo-Pheniram), clemastine (Tavist), clomipramine (Clomicalm), acepromazine (Acevet, Atravet), fluoxetine (Reconcile) etc. |
7 days |
Allergy Testing Instructions