What to Expect on Your First Visit

Please arrive 15 minutes before appointment time to complete paperwork. For your convenience, you can download, print and fill out the forms from this page using Adobe Acrobat Reader or we can mail the paperwork to you before your appointment to help facilitate this process. Make sure you bring your insurance card and co-pay to your visit. Bring a list of all the medications you have taken in the last year, and any relevant lab work done in the last two years. Please be prepared to be here for at least one hour in order to allow a thorough evaluation.

You will initially be seen by our trained allergy nurse who will obtain vital signs, record your medication list and perform pulmonary function testing if you have any respiratory or cough issues.

You will then spend extensive time with Dr. Cymerman. Much of that time will be discussing why you are here, what evaluation and treatment you have had in the past, and most importantly, what events led up to your current condition. A physical exam relevant to your allergy symptoms will be performed; a loose-fitting shirt is helpful.

Allergy testing via skin prick testing may or may not be performed the first visit, depending on what medications you are taking, what your respiratory status is and other factors. Skin testing can NOT be done if you have NOT eaten in more than an hour, if you are ill, if you have a reduced respiratory status or if you have taken antihistamines in the previous 72 hours. If Dr. Cymerman assesses allergy testing to be appropriate, skin testing will be performed. Please keep in mind skin testing is not appropriate for every patient for a number of possible reasons.

Please do not stop any asthma medications that you are taking under any circumstances.

Patient Forms in English:

• Patient Registration Packet (English)
• Our Office Policy (English)
• Follow-Up Environmental Form (English)
• Allergy Injection Consent Form (English)
• Patch Testing Form (English)
• Skin Testing Form(English)
• Medical Record Release Form (English)

Self Pay:

• Financial Agreement (English)

Formularios del Paciente en Español:

• Patient Registration Packet (Spanish)
• Our Office Policy (Spanish)
• Follow-Up Environmental Form (Spanish)
• Allergy Injection Consent Form (Spanish)
• Patch Testing Form (Spanish)
• Skin Testing Form (Spanish)
• Medical Record Release Form (Spanish)

Responsabilidad del Paciente:

• Financial Agreement (Spanish)

Useful Links:

• www.aaaai.org/

• www.acaai.org/news

• www.nationaljewish.org

Good Faith Estimate

If you are uninsured, you have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
• Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
• If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
• Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call our office.

Insurance

Long Island Allergy and Asthma currently works with over 30 major insurance companies. Our staff is always working on accommodating our patients and their insurance providers. We accept cash, checks, VISA and MasterCard as payment for co-pays and insurance deductibles. Please call our office at (631) 751-6262 for further information or to find out if your carrier is on our continuously expanding list of providers.
 

**Disclaimer**

Insurance plan participation may change over time. While every effort is made to ensure the accuracy of this information, we recommend that you confirm participation status with your insurance carrier or practice. Please note that insurance plan participation requirements may be waived when a patient receives medical treatment in an emergency.