Request an Appointment

• Our locations
• Online appointment request form
• Antihistamines and Drugs that may affect testing
• Downloadable patient registration forms
• What to do before your appointment
• What to bring to your appointment

Canton Asthma & Allergy looks forward to having you join our host of satisfied patients. To schedule an appointment, please call us at one of our three convenient locations in Canton, Brighton or Novi, Michigan, or you can request an appointment online below. Our appointment scheduler will respond to your request within 48 hours.

Please do not use this form if you have an urgent medical problem or you need to re-schedule an existing appointment. Instead, please contact our office at (734) 394-2661.

Once you have made your initial appointment, you may download and print the forms below, fill them out and bring them with you to your first visit. Completing the forms prior to your visit will help speed up the new patient registration process. Also, see below for what to do before your appointment and what to bring to your appointment.

*Please note: A number of medications can affect skin test results and may need to be discontinued for a specific amount of time to allow for proper interpretation of allergy skin tests. Please see the table below and follow the timeline suggested for each. As a rule, asthma medications do not affect skin tests and can be continued as prescribed.

*** NOTICE ***

IF TAKING ANY MEDICATION FOR SWELLING OR HIVES, DO NOT STOP TAKING!

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

Antihistamines and Drugs That May Affect Testing:

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.

• New Patient Registration Form
• New Patient Questionnaire

Please note: It may take a few minutes to load the forms if you are using a dial-up Internet Connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.

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Before Your Appointment:

• Call your insurance company to verify your coverage and ask:
  • Does my insurance cover skin testing?
  • Does my insurance have a deductible that needs to be met before they pay?
  • Does my insurance require me to pay an office visit co-pay or percentage?
• If you have HMO insurance, obtain a written referral from your doctor.
• Call our office 2 days before your appointment to verify that we have received your referral. Without the authorization form, you will be asked to reschedule or pay for all charges at the time of your visit.
• Read and follow the timeline for medications needing to be discontinued.
• Complete the New Patient Registration Form and New Patient Questionnaire.

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What to Bring to Your Appointment

• Your insurance card and identification
• Physician referral forms, if required by insurance
• Your completed New Patient Registration Form and New Patient Questionnaire
• List of prescriptions and/or over-the-counter medication, including dose and frequency
• Information about your medical and surgical history
• Recent skin test results or relevant medical records
• Payment for your co-payments (if you ask us to bill you, there will be a $10.00 statement fee added to your charges)

If the patient is a minor, a parent or legal guardian with proof of guardianship records must be present. If any other relative brings the minor patient, they must present signed permission with a copy of the parent or guardian's driver's license.

Cancellations on the day of your appointment or a broken appointment with no notification will result in fees charged for unused time and possible denial of future appointments.

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