This content will no longer be available as of 10/11

Stay tuned for improvements we're making to our Health Information section.

Ever been to the doctor and then realized you forgot to ask some of your questions? Most of us can relate to that! Sometimes, you're hit with so much information at the doctor that it's too much to absorb all at once. This sheet can help you get the most from your visit if you print it and bring it with you. The first questions are for you to prepare beforehand, so you can give your doctor well thought-out information about your history with allergies.


  1. What are your allergy symptoms? (List all.)
  2. How long ago did your symptoms start?
  3. Do your symptoms happen throughout the year or just during certain months?
  4. What do you think causes your symptoms?

Drugs you've taken

  1. What prescription drugs are you taking (or have taken in the past)?
  2. What over-the-counter drugs are you taking (or taken in the past)?
  3. What vitamins or herbal supplements are you taking?
  4. Has anything helped?
  5. Are you allergic to any drugs?

Allergy history

  1. What allergies have you been treated for in the past? (e.g., pollen, mold, dust, food, animal dander)
  2. Have you ever been hospitalized for an allergy (including emergency room treatment)?

Questions about any medication your doctor prescribes

  1. What is the name of the drug your doctor gave you?
  2. What symptoms is the drug supposed to relieve? (Why are you taking it?)
  3. What is the dosage for the drug? (How much should you take?)
  4. How often and when should you take the drug? (i.e., twice a day, before bed, with food, etc.)
  5. How long do you take the drug? (i.e., two weeks, until the medication is used up, etc.)
  6. What are the possible side effects of the drug?
  7. List any additional comments you want to remember about the drug.

Review Date: 6/29/2011

Reviewed By: Paula J. Busse, MD, Assistant Professor of Medicine, Division of Clinical Immunology, Mount Sinai School of Medicine, New York, NY, Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M. qualityA.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission ( URAC'saccreditation program is an independent audit to verify that A.D.A.M. follows rigorousstandards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information andservices. Learn more about A.D.A.M.'s editorialpolicy, editorialprocess, and privacypolicy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (

The information provided herein should not be used during any medical emergency or for the diagnosis or treatmentof any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions.Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 2014 A.D.A.M., Inc. Any duplication ordistribution of the information contained herein is strictly prohibited.