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Sublingual Immunotherapy Information, Consent and Patient Instruction Forms

The AAAAI is pleased to offer patient information, consent and instruction forms related to sublingual immunotherapy. The information form is intended to provide the patient/patient’s family background on sublingual immunotherapy efficacy, proper administration and safety. The forms provide patient guidance on when and how to treat a SLIT systemic reaction (SLIT action plan) and what to do before SLIT administration to ensure to optimal safety with this home based therapy (SLIT Pre-Dose Checklist). These recommendations are based on the FDA-approved sublingual immunotherapy tablet product information and multiple published studies.

As an AAAAI members-only benefit, these forms can be edited and customized for individual practices. If you are a member, simply login with your username and password. The forms will open in Word/Excel document format for editing.

By clicking on the forms, 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.

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