Virtual visit appointments
To schedule an allergy, asthma and immunology virtual care visit or to talk about your care, call 1-425-339-5412.
To enter your scheduled virtual care appointment, select the button below.
We're uniquely trained to help you with adult and pediatric immunology problems, including:
- All kinds of allergies
- Hives or a bad rash with swelling
- Persistent cough or a cough that won't go away
- Recurring sinus, ear or bronchitis infections
- Anaphylaxis or a serious allergic reaction
- Immune deficiency or when your body can't protect itself from disease
You may also see us for:
- Allergy testing
- Allergy injections (shots)
- Allergy skin testing
- Lung function testing or tests to see how well your lungs and breathing work
- Venom immunotherapy (to help your body with insect allergies) and drug desensitization
On-call allergists are available 24 hours a day, 7 days a week. Our board-certified specialists can see you on site, without a referral or asking you to see another doctor first. Allergy shots do require an appointment with an allergist to create a care plan.
Use our price sheet to view current prices for allergy, asthma and immunology services.
We'll ask you to start by filling out our allergy questionnaire.
We'll also ask that you're off all antihistamines, stomach medicines as well as all cold, cough and flu medications at least 72 hours before your visit. The reason for this is these medicines can cause problems with the skin testing you'll have at your appointment.
If you're not able to be off antihistamines before your visit, please let our front desk staff know. Since your first visit can take up to two hours, please have childcare for your young children.OR
Antihistamines are medications that help with allergy symptoms. Please don't take any antihistamine pills for three days before your allergy consultation. Antihistamines are in most cough, cold and allergy pills as well as some stomach pills and sleep aids.
If you're not sure whether the medication you're taking has an antihistamine in it, check with your doctor or the pharmacy where you get your medicine. You can still use nasal sprays, inhalers and eye drops.
These common cough, cold and allergy pills and sleep aids have antihistamines in them:
- Advil® PM (diphenhydramine)
- Allegra® (fexofenadine)
- AllerClear® (loratadine)
- Aller-Tec® (cetirizine)
- Antivert® (meclizine)
- Atarax® (hydroxyzine)
- Benadryl® (diphenhydramine)
- Bromphen (brompheniramine)
- Chlor-Trimeton® (chlorpheniramine)
- Clarinex® (desloratadine)
- Claritin® (loratadine)
- Elavil® (amitriptyline)
- Periactin® (cyproheptadine)
- Phenergan® (promethazine)
- Sinequan® (doxepin)
- Sominex® (diphenhydramine)
- Tavist® (clemastine)
- Tylenol® PM (diphenhydramine)
- Vistaril® (hydroxyzine)
- Xyzal® (levocetirizine)
- Zyrtec® (cetirizine)
These stomach pills have antihistamines in them:
- Axid® (nizatidine)
- Tagamet® (cimetidine)
- Zantac® (ranitidine)
We'll do a physical exam, focusing on your skin and respiratory tract or how you breathe.
This exam will include:
- A history of your current problem
- Questions about how you've been handling the problem with previous doctors
- Your medical and family histories
- Your history at work, home and school as well as the types of allergens or allergy triggers possibly found in those places
More tests may be done, such as:
- Skin tests for environmental allergens, foods and drugs
- Imaging studies, such as CT or CAT scans of the sinuses and chest X-rays
- Blood testing as needed
Your allergist will tell you what we find and how we can help you. Usually, follow-up visits are set up to make sure you’re getting the help you need.
We have a complete team at our clinic. We may suggest you see other doctors on site as well, such as ear, nose and throat (ENT), audiology (hearing), dermatology (skin) or gastroenterology (stomach).OR
Allergies with sneezing, itchy and watery eyes as well as congestion can be problems all year for many people. Mold (growth on food and damp surfaces) and dust mites (small spider-like animals found in small bits of matter) make fall a key time for allergies too.
Molds are common in basements, shower stalls and near washing machines and dryers. Molds are also found in gutters, soil, woodpiles and under fallen leaves.
Some people think they should wait and get help with their allergies after symptoms begin. But the best way to get help is to stop allergies before they start. Before the cold season, make an appointment with one of our allergists. And check out our allergy tips below.OR
When you arrive, check in with the receptionist and have a seat in the waiting room. Shots are given on a first come, first served basis. After your shot, you'll need to wait in our office for at least 30 minutes. This is to make sure you don't have a bad response.
If you have a bad response, we have medicine that can help you. If you have a bad response, you'll need to stay at our office a while longer. We always try to keep appointments as short as possible.
A few tips for less waiting time:
- Arrive early. Our busiest time is 3 to 5 p.m. when waiting times can be up to 30 minutes.
- Use our appointment cards to help remember when your next shot is due. It helps to come in around the same time each month.
- Remove your coat before to coming into the room for your shot. This helps us easily reach your upper arm faster.
Smokey Point 360-454-1912
- Mon and Tue: 8 - 11:30 a.m. and 1 - 4:30 p.m.
- Thu: 8 - 11:30 a.m. and 1 - 4:30 p.m. and 5:30 - 6:30 p.m.
- Mon: 8 - 12:30 a.m. and 2 - 6:30 p.m.
- Wed: 8 - 11:30 a.m. and 1 - 5 p.m.
- Fri: 8 - 11:30 a.m. and 1 - 4:30 p.m.
Mill Creek 425-339-5412
- Tues and Thu: 8 - 12:30 a.m. and 2 - 4:30 p.m.
- Find out what triggers your allergies. If you know what triggers your allergies, you may be able to fine-tune how much medicine you take.
- Use a stronger medicine, such as ZYRTEC® (cetirizine) or Allegra® (fexofenadine). Both are available over the counter.
- Try stronger eye drops with the ingredient ketotifen. Prescription eye drops also work well.
- Start using a prescription nasal spray to help with nasal allergies.
- Try not to be around tobacco fumes, diesel exhaust, strong perfumes, hairspray and paint fumes.
Talk to your doctor. Sometimes even being on medicine for a short time can help you take care of your symptoms faster.OR
- Don’t use medications that make you sleepy. Instead, try Claritin® (loratadine) or ZYRTEC®(cetirizine).
- Don’t use over-the-counter nasal decongestant sprays. These sprays can cause rebound nasal congestion if you use them for more than 72 hours.
- Don’t take a walk in the woods on a windy, sunny day. Try not to be around pollen. If possible, try to keep your windows closed with your air conditioning (AC) on during windy, sunny days.
- Don’t ignore symptoms of a cough, shortness of breath, chest tightness or wheezing. These symptoms could be a sign of asthma. If you have these symptoms, see your doctor right away.
Don’t suffer through your allergies. Make an appointment with us to get help.OR
Asthma is a long-term medical problem affecting the airways or tubes that carry air to the lungs (breathing organs). The inner lining of the airways become swollen (inflammation) and the muscles around the airways tighten (bronchospasm), narrowing the airways further.
Asthma affects people of any age, but often starts during childhood. Nearly 25 million people in the U.S. have asthma.OR
- Coughing, especially at night
- Shortness of breath
- Tightness in the chest
There are many triggers of asthma symptoms:
- Allergens, such as dust (small bits of matter), animal dander (loose scales found on animal skin) and fur, mold (growth on food and damp surfaces) and pollens
- Irritants, such as smoke, pollution, chemicals and dust
- Medications, such as aspirin and nonselective beta-blockers (medicine that lowers blood pressure)
- Sulfites in food and drink
- Viral respiratory infections
- A lot of physical movement (exercise-induced asthma)
Your doctor will do an exam and some tests. Tests for asthma may include lung tests as well allergy testing, bronchoprovocation (testing how your lungs react to asthma triggers) and chest X-ray or EKG (electrocardiogram).
Your doctor will also look at your health and family history.OR
People with asthma can live normal, full lives. The key is taking an involved role in the management of your asthma. Getting help for asthma symptoms when you first have them will keep them from worsening.
There are many things you can do to take care of your asthma:
- Work with your doctor on other medical problems that might worsen your asthma.
- Don’t be around asthma triggers, such as cigarette smoke.
- Follow an asthma action plan.
As part of your asthma action plan, medication might be prescribed. Asthma is treated with two types of medicines: quick-relief medicines (to help right away) and long-term control (to take care of asthma over a long period of time).OR
Quick-relief medications (bronchodilators) are for short-term use to open up narrowed airways. This helps take care of the feeling of tightness in the chest, wheezing and breathlessness.
Medications can also be used to help stop exercise-induced asthma, or asthma from a lot of physical movement.OR
Controller medications are used on a daily basis to help with asthma and reduce the number of days that you have symptoms. These medications need to be taken every day, even if you're feeling well.
You should also get a flu shot every fall. Patients with asthma are more likely to have problems when they're sick with influenza or flu. It’s important that all patients and other people in their household get immunized (get a flu shot) against influenza every year.OR
Patients with asthma have a greater chance for problems when they are sick with influenza (flu). We suggest all asthma patients and others in their household get immunized every year for flu.
Centers for Disease Control and PreventionOR