• All patients' shot doses will be decreased by at least 50% to minimize the risk for systemic allergic reactions.
• This lower dose will remain your "maintenance" dose for now, which will last you about 6 weeks.
• This is a temporary, yet necessary change we need to make in order to accommodate all of our allergy shot patients, minimize risk for reactions, and minimize the number of in-person office visits at this time.
• We highly recommend that you take an oral antihistamine like Zyrtec, Xyzal, or Allegra 1-2 hours before your allergy shots to help minimize the risk of having an allergic reaction.
• SHOTS WILL BE GIVEN BY APPOINTMENT ONLY BETWEEN 8:30 and 3:00. WE WILL NOT ADMINISTER YOUR SHOTS WITHOUT AN APPOINTMENT MADE. NO EXCEPTIONS

Following the CDC recommendations as well as the order from the mayor of San Francisco, we are adopting the following visit restrictions:

• It is MANDATORY for patients to come in wearing a mask which covers your nose and mouth, and is to be worn through the duration of your visit with us.
• The patient should come alone; no visitors are allowed.
• For a patient who is a minor, only one parent or guardian may accompany the patient.