Frequently Asked Questions

What is immunotherapy? What is an allergy? These are all questions patients have when they are first looking at getting professional help for their ailments. Allergy & Immunology Health Services wants to help you answer these questions and others with our helpful frequently asked questions page. Take a look below for simple, understandable answers to many of the most common questions our allergy and immunology practice has seen throughout the years.

How early should I arrive before my appointment?

We suggest that you arrive 15-20 minutes prior to your appointment if you are a new patient and have not completed the necessary paperwork in advance. If you have gotten the paperwork off our website and filled it out, then coming 10 minutes prior to your appointment is adequate.

Will you remind me of my appointment?

Yes, we use a program that sends appointment confirmations to you based on the information you give us. The appointment reminders can come in the form of a phone call, text, or e-mail. You will receive a reminder 1 week and again 2 days in advance of your appointment.

Can I access my records online?

Please contact the office to request copies of your records if they are needed. They are not accessible online.

Where can I pay my bill?

You can pay your bill at any office location- during office hours. Please bring your statement in with you. You can also pay through the mail and through our website Just click on the “pay my bill” tab and follow the instructions.

Who can I speak with regarding billing questions I may have?

Please call the billing department with any billing questions you may have. There number is 440-779-1107. The billing office hours are Monday-Thursday from 8am-4pm and Fridays 8am-3:30pm.

What forms of payment do you accept?

We accept cash, most major credit cards, checks, money orders.

What do I do if I run out of my medications?

If you run out of medications, please call our office and leave a message for the physician. The nurse will call back with any instructions.

What are the allergy shot hours?

The shot hours vary from office to office and are based on the physician’s schedule which can change unexpectedly. Please call the shot line at (216) 539-5960 for up to date hours. The shot schedule is also available on the website at under the “Shot Calendar” tab.

How much does it cost to get tested for allergies?

Like most medical procedures, there isn’t a uniform cost for allergy testing, and insurance coverage varies. Please contact your insurance company for accurate coverage information.

How long does skin testing take?

In most cases it is a two-step process a prick test and intradermal testing. Each
Test takes about 5 minutes to apply after each is applied you wait 15 minutes,
then the test is read.

When do I get my skin testing results?

Dr Panuto will give you your results on the same day of your testing.

How effective is Immunotherapy (allergy shots)?

Immunotherapy is 85% effective after 5 years of therapy.

How long is the build- up phase of the immunotherapy protocol? How long is maintenance?

Once you start, you will receive shots weekly for the first 6 months. This allows us to build you up to a maintenance dose. Once you reach the maintenance dose, you then receive allergy shots every two weeks. You continue this schedule for 5 years.

What happens when I go on vacation or get sick or miss my allergy shots due to the holidays or my busy work schedule?

When you come back in for you first shot our nurses will adjust your dose to a safe level. If it has been over 3 months since you last shot please don’t just stop in. Please call the office and let the staff know you are coming so that we can consult with Dr Panuto and adjust your program accordingly.

My asthma has been acting up the past few days. Should I still come in and get a shot today?

You should NOT get an allergy shot if you are having an increased asthma symptoms or acute allergy symptoms also if you are running a fever or have a viral illness.

I’m having a hard time using my asthma medications. I’m not sure if they are working or if I am using my inhaler properly. What should I do?

Bring your inhaled medications with you to your next visit. Our friendly staff will review will your medications with you and how to use them.