Immunotherapy System Reaction Treatment & Grading System

As a members-only benefit, the forms can be edited and customized for individual practices.

Allergen Immunotherapy Systemic Reaction/Anaphylaxis Treatment Record (Word)
Allergen Immunotherapy Systemic Reaction/Anaphylaxis Treatment Record (PDF)

WAO Subcutaneous Immunotherapy Systemic Reaction Grading System (Word)
WAO Subcutaneous Immunotherapy Systemic Reaction Grading System (PDF)

Systemic Reaction Patient Tracking Log (Word)
Systemic Reaction Patient Tracking Log (PDF)

The Subcutaneous Immunotherapy Systemic Reaction Grading System was developed by the World Allergy Organization (WAO) and approved by the AAAAI Board of Directors.

By accepting the Terms of Use on preceding pages, you agree that these forms are being provided for educational and informational purposes only and are not intended to be a substitute for your independent medical judgment. The AAAAI is not liable for any decision made, or action taken by you or anyone else, in reliance upon the information contained within these forms.