PA-C, MMSC, AE-C
To schedule an appointment:
Comprehensive program developed to evaluate, educate, and create the appropriate management program for the patient with asthma and/or environmental allergies.
One hour initial asthma evaluation to determine if there are underlying signs of allergies, atopic conditions such as eczema, Gastroesophageal reflux disease (GERD), and asthma.
A thorough family history, environmental history, and past medical history is performed during this first visit.
Patients and parents are taught to use asthma medications and devices, peak flow meters, and a pulmonary function test is performed if the child is older than 5.
An Asthma action plan is created for the patient, if indicated, and allergy testing is scheduled if it is determined necessary.
TCFAP does not handle food allergies.
Initial is 1 hr
Follow up is 30 mins
IMPORTANT: No benadryl, claritin, zyrtec, or any antihistamines (including cough syrup with antihistamines) One Week prior to testing. This includes eye drops, saline nose spray is ok-only if congested.
Initial Evaluation is 1 hour
Follow up with an spirometry testing is 45 minutes: without spirometry, i.e. under 5 yrs old is 30 min.
IMPORTANT: No Albuterol (unless pt is sick, wheezing, respiratory distress on day of appt) OR any bronchodilator such xopenex, proair, ventolin, proventil within 4 hours of test. Advair or symbicort cannot be used the night before the test. Bring all meeds to the appointment. Under 5 yrs old, ok for meds to be taken. No puffers morning of test if it’s a morning appt. otherwise, no puffers within 4 hours before appt. (unless sick, wheezing, respiratory distress on day of appt)
Treadmill Test with Spirometry Testing
Testing is 75 minutes
IMPORTANT: No Albuterol or bronchodilator such as xopenex, proair, ventolin, proventil within 4 hours of test. Advair or symbicort cannot be used the night before the test. Bring work out clothes/shoes and water bottle for test.
Payment of Services:
The first visit is an office visit and billed through insurance and the co-pay is collected at time of visit.
All testing is usually covered by insurance and billed as a visit with testing and a co-pay is collected at the time of testing. However, it is important to check prior to your visit with your individual insurance plan to determine coverage.
© 2018 The Center For Advanced Pediatrics. All Rights Reserved.
Created & Maintained by Jennifer Moore, MD, FAAP, IBCLC