Sample Smart/Dot Phrases: Food Reactions Discharge Instructions (8/2025)
Food Allergy vs. Food Sensitization vs. Food IntoleranceSome of the symptoms of food intolerance and food allergy are similar, but the differences between the …
Sample Smart/Dot Phrases: Mast cell activation syndrome (MCAS) Discharge Instructions (8/2025)
Mast cell activation syndrome (MCAS) is a condition that doctors may consider when patients have many different symptoms and certain blood test results. The di…
Sample Smart/Dot Phrases: VCD Discharge Instructions
Vocal Cord Dysfunction (VCD) /Inspiratory Laryngeal Obstruction (ILO)/ Exercise- Induced Laryngeal Obstruction Exercises (EILO) What Happens in Vocal Cord…
Sample Smart/Dot Phrases: Allergic Rhinitis Discharge Instructions (8/2025)
Sample Smart/Dot PhrasesAllergic Rhinitis Discharge Instructions 8/2025 Your testing was positive to these allergens: *** Treatment of allergies incl…
Sample Smart/Dot Phrases: Allergy Shot Discharge Instructions (8/2025)
Allergy ShotsAllergies are the result of a chain reaction that starts in the immune system. Your immune system controls how your body defends itself. For insta…
Sample Smart/Dot Phrases: Habitual Cough Discharge Instructions (8/2025)
Habit Cough (Tic Cough) A habit cough (sometimes called tic cough) is a cough that happens over and over in a patterned way, kind of like a vocal tic. It can …
Sample Smart/Dot Phrases: HPI
HPIHPI Start old _ with _ who presents to our clinic for initial evaluation for####################PREVIOUS HPI###################################Asthma Initi…
Sample Smart/Dot Phrases: Procedures
SAMPLE PROCEDURE DOT/SMART PHRASES Immunotherapy NoteThis is a old patient who today presents for immunotherapy. The patient was screened and found qual…
Sample Standing Order: Epinephrine Auto-Injector 0.15 mg OR 0.30 mg and Epinephrine Intranasal 1 mg or 2 mg
SAMPLE STANDING ORDER: EPINEPHERINE AUTO-INJECTOR 0.15 mg OR 0.30 mg AND EPINEPHERINE INTRANASAL 1 mg OR 2 mg …
Sample Standing Order: Oral Antihistamine
SAMPLE STANDING ORDER: ORAL ANTIHISTAMINE Approved By: _________________…
Sample Standing Order: Topical Hydrocortisone
SAMPLE STANDING ORDER: TOPICAL HYDROCORTISONE Approved By: ____________…
Sample Standing Order: Albuterol Levalbuterol or Albuterol Ipratropium via Nebulizer
SAMPLE STANDING ORDER: ALBUTEROL, LEVALBUTEROL, OR ALBUTEROL/IPRATROPIU…
National Asthma and Allergy Awareness Month press release template
Send this article as a news release to local media, upload it to your website or newsletter or print it out as an informational flyer for patients.
Sample Insurance Verification Form
Use this sample to develop your insurance verification form.
Sample Financial Policy
Use this as a template for developing your financial policy.
Sample Payment Agreement
Use this sample as a template for developing your payment agreement if your practice allows installment payments.
Appeal letter for penicillin or cephalosporin testing reimbursement
This customizable template can help you respond to a denial of reimbursement for penicillin or cephalosporin allergy testing.
Letter to primary care physician
Use this template to send a letter to primary care physicians in your community about the benefits of referring their patients to you for penicillin allergy te…
Letter to patient
Provide this letter to your primary care colleagues, who can use it to communicate with the patients they are referring to you for penicillin allergy testing.
Negative penicillin testing confirmation letter
Send this letter to a patient's PCP to confirm the results of a patient who has been tested and is not pencillin allergic.
