What to Expect

Thank you for choosing Covenant Allergy and Asthma Care for your allergy and asthma needs. Dr. Raschal looks forward to meeting you and discussing your health concerns with you.
As a new patient, there are several things we need to make you aware of before your visit.

  • Your appointment will last approximately 3- 4 hours. Please feel free to bring peanut-free and nut-free snacks with you. We also have free Wi-Fi for your laptop.
  •  DO NOT take any antihistamines 3-5 days prior to your appointment. Below is a list of common antihistamines.
  • Out-of-pocket fees for a typical new patient appointment can be up to $700 after insurance contract adjustments. Before your appointment, our staff will verify your insurance eligibility and benefits. After verification, we will call you to discuss your benefits and potential out-of-pocket costs. Unfortunately, verification of benefits is not a guarantee of coverage. Insurance companies always issue a disclaimer that benefits are not guaranteed until the claim is processed. If we have determined that you will have an out-of-pocket expense, you will need to pay that amount at the time of service. If your insurance company requires a referral to our office, please obtain this prior to your visit.
  • Any cancellations must be made at least 24 hours prior to your appointment time. If the appointment is not cancelled 24 hours prior, you will be charged a $100 cancellation fee.

We want to make your first visit to Covenant Allergy and Asthma Care as pleasant and worry free as possible.

After you have checked in with our front desk, one of our clinical staff will bring you back to the exam suites where your height, weight, blood pressure, temperature, peak flow (a measure of breathing capability) and oxygen saturation will be assessed.

Our nurses will then ask you series of detailed questions regarding:

  1. The reason for your visit (Chief Complaint)
  2. A list of your current medications including any drug allergies (please be sure to complete the Current Medication/Drug Allergy form before your visit).
  3. Your past medical history and surgical history.
  4. Your family and social history.
  5. Your environmental history. This is extremely important as the staff will ask you about any pets you may have, the type of housing you live in, heating and cooling systems, flooring type, etc.

After an initial consult with one of our providers, allergy testing will typically be performed. Skin prick tests use plastic pricks that barely break the skin. There is little to no discomfort associated with this testing. Intradermal skin testing does involve using a needle to place a small amount of allergy antigen under the skin. A typical pediatric patient (less than 5 years old) may receive 10 skin pricks and four intradermal skin tests. Children older than 5 years old and adults may receive 24-47 skin pricks and 10-24 intradermal skin tests.

For pediatric patients, we will provide a prescription for EMLA Cream in your new patient packet. This is a numbing cream that desensitizes the skin so that the skin prick testing will not be as uncomfortable. Typically, EMLA cream is not required for teenagers and adults UNLESS the patient is afraid of needles.

Depending on your lung function, pulmonary function testing (spirometry) may be performed as well. This procedure evolves blowing into a device until your lungs feel as if they are empty. Our medical software will then measure your lung function as a percentage of normal.

Thank you for entrusting us with your medical care. If you have any questions, please feel free to contact us. We look forward to seeing you!

Common Antihistamines

DO NOT TAKE ANY OF THESE MEDICATIONS 3-5 DAYS BEFORE ALLERGY SKIN TESTING APPOINTMENT
  • Allegra (Fexofenadine)
  • Alavert
  • Claritin (Loratadine)
  • Allegra-D
  • Benadryl (Diphenhydramine)
  • Claritin-D
  • Zyrtec (Cetirizine)
  • Atarax (Hydroxyzine)
  • Clarinex
  • Zyrtec-D
  • Xyzal
  • Clarinex-D

EMLA CREAM APPLICATION INSTRUCTIONS
ADULTS -Apply THICK layer of EMLA cream to BOTH forearms from wrist to elbow. DO NOT RUB IN. This should be done 30 minutes prior to your appointment. Wrap treated area with plastic wrap (i.e. Saran Wrap, Glad Wrap) and secure with tape.

CHILDREN - 8 years and younger: Apply THICK layer of EMLA cream to entire back from middle of shoulder blades to just above pant line. DO NOT RUB IN. This should be done 30 minutes prior to your child's appointment. Wrap treated area with plastic wrap (i.e. Saran Wrap, Glad Wrap) and secure with tape.

CHILDREN - 8 years and older: Apply THICK layer of EMLA cream to BOTH forearms from wrist to elbow. DO NOT RUB IN. This should be done 30 minutes prior to your appointment. Wrap treated area with plastic wrap (i.e. Saran Wrap, Glad Wrap) and secure with tape.