Virtual Allergy & Immunology Intake Form

Virtual Allergy & Immunology Intake Form: Streamline Telehealth Consultations with Paperform

Managing allergies and immunological conditions requires detailed patient histories, ongoing symptom tracking, and careful coordination between patients and healthcare providers. This Virtual Allergy & Immunology Intake Form template is purpose-built for allergists, immunologists, and telehealth practices to collect comprehensive patient information before virtual consultations—saving valuable appointment time and improving care quality.

Why Allergy & Immunology Practices Choose Paperform

Telehealth has transformed how allergists connect with patients, but effective virtual care still depends on thorough intake processes. This template helps you gather critical information about allergen exposures, reaction histories, current medications, and emergency preparedness—all before the appointment begins.

Paperform makes telehealth intake forms feel professional and patient-friendly. Unlike clunky medical portals or static PDFs, your intake form can match your practice's branding, load quickly on any device, and guide patients through complex medical questions with conditional logic that shows or hides sections based on their specific needs.

What Makes This Template Essential for Virtual Allergy Care

This comprehensive template includes everything allergists need for remote patient assessments:

• Complete medical and allergy history: Capture past allergic reactions, family history of allergies, environmental and food triggers, and severity of previous episodes
• Allergen trigger diary: Document recent exposures, symptoms experienced, timing of reactions, and patterns that help identify causative agents
• Current medications and treatments: Record all current medications, previous immunotherapy, over-the-counter antihistamines, and supplement use
• Epinephrine auto-injector assessment: Evaluate current prescription status, expiration dates, patient training, and refill needs
• Desensitization therapy consent: Obtain informed consent for oral immunotherapy (OIT), sublingual immunotherapy (SLIT), or subcutaneous immunotherapy (SCIT)
• Emergency action plan: Create personalized action plans for anaphylaxis recognition and response
• Insurance and appointment details: Streamline administrative tasks with insurance information and telehealth preferences

Perfect for Multiple Allergy & Immunology Specialties

Whether you're treating seasonal allergies, food allergies, drug allergies, insect sting hypersensitivity, or complex immunological conditions, this template adapts to your practice:

• General allergists: Comprehensive intake for both pediatric and adult allergy patients
• Pediatric allergists: Detailed food allergy histories and growth-specific questions for children
• Immunologists: Capture immune system disorder histories and recurrent infection patterns
• Telehealth-first practices: Fully optimized for virtual consultations with remote symptom assessment
• Allergy clinics: Standardize intake across multiple providers for consistent care

Save Time and Improve Patient Outcomes

Traditional paper intake forms create bottlenecks—patients forget them at home, handwriting is illegible, or critical information is incomplete. By the time you start the telehealth appointment, you're spending the first 15 minutes gathering basic history instead of focusing on diagnosis and treatment.

This digital intake form solves those problems:

• Patients complete it on their own time before the appointment, from any device
• Conditional logic ensures you only ask relevant follow-up questions based on their answers
• Automatic calculations can score symptom severity using validated allergy scales
• Required fields prevent incomplete submissions that delay care
• Photo uploads let patients share current medications, epinephrine auto-injectors, or allergic reaction images

Seamless Integration with Your Practice Management Tools

Paperform connects with the tools allergy practices already use. Send completed intake forms directly to your EHR, schedule follow-up appointments, or trigger automated reminders:

• EHR integration: Push patient data to Epic, Cerner, or Athenahealth via Stepper workflows
• Appointment scheduling: Embed calendar booking directly in the form or sync with Calendly, Acuity, or your practice management system
• Email notifications: Automatically alert your clinical team when urgent cases are submitted
• Secure storage: All submissions are encrypted and can be stored according to your data residency requirements
• Telehealth platforms: Connect seamlessly with Zoom, Doxy.me, or your preferred video consultation platform

Automate Post-Submission Workflows with Stepper

After a patient submits their intake form, Stepper can automate your entire pre-appointment workflow:

• Automatically assign patients to the appropriate allergist based on specialty or availability
• Send personalized pre-appointment instructions via email or SMS
• Generate telehealth visit links and add appointments to patient calendars
• Flag high-risk patients (history of anaphylaxis, expired EpiPen) for priority review
• Update patient records in your EHR without manual data entry
• Trigger prescription refill requests to your pharmacy system

These automations free your staff from repetitive administrative tasks, letting them focus on patient care instead of paperwork.

Compliant, Secure, and Trusted by Healthcare Providers

Patient health information requires the highest level of security. Paperform is SOC 2 Type II compliant and offers enterprise-grade security features including:

• End-to-end encryption for all form submissions
• Data residency controls to meet regional compliance requirements
• Role-based access controls for clinical and administrative staff
• Secure form embedding on HTTPS websites
• Regular security audits and compliance monitoring

While Paperform is not HIPAA compliant, many telehealth practices use it for non-diagnostic intake and screening purposes, then transfer sensitive information to HIPAA-compliant systems via secure integrations.

Customizable to Your Practice's Unique Needs

Every allergy practice is different. This template gives you a professional starting point, but you can easily customize it to match your workflow:

• Add your practice logo and brand colors
• Include specific validated questionnaires (like the Rhinoconjunctivitis Quality of Life Questionnaire)
• Customize emergency action plan templates for your protocols
• Add telehealth consent language specific to your state
• Include questions about environmental controls or dietary restrictions
• Adjust conditional logic to match your clinical decision trees

The doc-style editor makes customization intuitive—no coding required, just type and format like you would in a word processor.

Built for the Future of Allergy Care

Telehealth is no longer a temporary solution—it's a permanent part of modern allergy care. Patients appreciate the convenience of virtual consultations for follow-ups, seasonal symptom management, and immunotherapy check-ins. This template helps you deliver exceptional virtual care without compromising on the detailed clinical information you need.

With over 500,000 teams worldwide trusting Paperform for their forms, payments, and workflows, you're joining a community of healthcare providers, practices, and telehealth innovators who've moved beyond clunky portals and static PDFs.

Get Started in Minutes

This template is ready to use right away. Simply customize the questions to match your practice, add your branding, and share the link with patients. You can embed it on your website, include it in appointment confirmation emails, or send it via your patient portal.

Start streamlining your virtual allergy consultations today with Paperform's Virtual Allergy & Immunology Intake Form template—because better intake means better outcomes.