About Your Visit – Preparing For Your Visit

During your initial evaluation, you and one of our specialists will review your medical history and help you decide upon a plan of action. Frequently, diagnostic tests are needed to get more information about your specific allergy or asthmatic condition. Most of the tests can be done in our office, allowing you to return to your regular activities in one to two hours. Your tests might include some or all of the following:

eNO Reading System

The Insight eNO System measures exhaled nitric oxide (eNO), also known as FeNO, which is a well-established indicator of airway inflammation in asthma. The Insight system is a highly accurate device, expressly designed for the physician’s office. It is non-invasive, safe, easy to use, and provides eNO results in less than a minute for better asthma management and care. Nioxx medical solution is a unique biosensor that helps in asthma care by detecting trace amounts of nitric oxide molecules in a single human breath utilizing a proprietary technology.

The addition of eNO or FeNO, to the standard asthma management tools allows a window into the inflammatory process occurring in the airways that can help improve asthma control. Physician office measurement of eNO is a much awaited breakthrough in medical technology that provides physicians with a reliable tool to measure airway inflammation as an adjunct to the current diagnostic measures of asthma management, e.g. lung function. Exhaled nitric oxide has been established as a reliable marker of airway inflammation in asthma for over 10 years. Exhaled nitric has been the central focus of studies establishing its link to optimizing medication and reflecting and predicting asthma control.

Skin Testing: This is usually done on the patient’s back (given the larger skin surface) by our skilled, experienced nursing staff. We use modern, state-of-the-art technology, making these tests virtually painless. Once the allergy is identified, we will review with you all of your treatment options.

Nasal Smear: A microscopic look at the nasal mucus to see if allergy or infection is present.

Blood Tests: If indicated, we may need to check certain blood work, including a CBC (complete blood count), and IgE Immunocap RAST studies, which measure the specific amount of allergy protein in your blood.

X-Rays: Chest or Sinus X-Rays.

In some cases, it may be necessary to order these radiographic studies. These tests can assist us in diagnosing certain conditions, either due to an allergic/inflammatory condition or infection. We will discuss the results of these studies and help you with any necessary follow-up care.

Like anything else in life, time taken ahead to prepare for your appointment will pay rich dividends and make your visit a fruitful and happy one”.

Please prepare for this by bringing:
  •  Health Insurance Card/Information
  •  Photo ID or Driver’s License
  •  For minors, a written permission for evaluation and treatment from a parent or legal guardian if one of them is not accompanying the child (However, we do request that the minor be accompanied by the parent or guardian during their initial evaluation.)
  •  Completed Forms
  •  Including your 5 page patient questionnaire which includes the following:
  •  A list of all your medical conditions and current physicians.
  •  A list of all your medications, including those from other physicians, including vitamins, and herbal products.
  •  Your drug allergies.
  •  Also remember to do the following: Wear appropriate dress that makes it easier to do physical examination; please refrain from wearing perfumes or strong scented skin and body care products on the day of appointment in the consideration of other allergy sufferers.
  •  Any pertinent medical records, including labs, x-rays, previous allergy records.

Patient Resources Office Forms

Open Payments Data

The Open Payments database is a federal tool used to search payments made by drug and device companies to physicians and teaching hospitals. It can be found at https://openpaymentsdata.cms.gov. For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospitals be made available to the public.

Secure Patient Appointments and Requests

New & Current Patients >> Try our online request form!

NOTE: New Patients

Please be advised we are happy to complete school forms for your child including a Food Allergy Action Plan and Medication Administration Form. Please forward the completed School Form Request and Food Allergy Action Plan to our office and please allow one week to process your request.
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Medical Records Release Forms

If you prefer to download, print and complete the forms. Click on the downloadable PDF below:Request for Release of Medical Information

Billing & Insurance Information

Your health is our primary goal. Please do not let financial concerns prevent you from getting medical care. Discuss these frankly with us and we will do our best to to help you with all aspects of payment for your care, whether that means working with your carrier or working out an agreeable payment plan with you.
As a service to our patients, we will verify your insurance coverage for allergy services. We will be happy to bill your insurance carrier for your visits, tests, and allergy treatment, if those services are covered by your health plan. To successfully bill on your behalf, we need accurate, complete insurance information from you. Most of it appears on your insurance identification card, but sometimes additional information is needed. Please keep in mind that the contract for payment coverage is really between you and your insurance carrier, often through your employer.
We appreciate and encourage a partial payment at the time of your visit. Depending on your insurance plan, we may request a deposit because most insurance plans will require payment of a deductible or a co payment of the total bill. We are happy to work with you and your insurance company to find out what your insurance will cover and to submit the appropriate claims. Your portion of the bill can be paid with check, American Express, Master Card, and Visa for your convenience.
We are a preferred provider for many of the area’s health plans, and a participating Medicare provider. Please call us to check if we are a member of your plan.

Insurances we are contracted with

If you do not see your plan listed please contact our office and ask to speak to someone in the business office.
  •  Blue Cross
  •  Blue Shield
  •  Champus/Veterans
  •  CIGNA
  •  Guardian/Humana
  •  Great-West
  •  HealthNet
  •  Interplan
  •  Medicare
  •  Multiplan
  •  Pacificare
  •  PHCS
  •  Principal Life
  •  Sequoia Physicians Network
  •  Student Resources
  •  Tricare
  •  UMR
  •  United Healthcare
  •  (just to name a few!)
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First and foremost let me start by saying that these people did one hell of a job figuring out my sinus problems. When I first arrived there, I explained what was going on with me having excessive inflammation in the sinus…after they tested me, I found out that I was being exposed to dust mites which gave me a strong reaction. I followed the doctors guides lines in terms of cleaning my room and ever since, my sinus inflammation went away for good and now I have a healthy sinus. Thank you for everything.

- Johnathon T
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Dr. Engler is great and his staff, both medical and administrative, are wonderful. Dr. Engler is competent, caring, and listens better than any doctor I’ve ever had, constantly and patiently asking if I have any more questions. The staff is great. The nurses are very friendly and helpful. The desk staff is the same. I have been going here over a year and have always received caring and competent treatment. I highly recommend them.
- Tom B
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Hands down the best place to go for Allergies and Asthma. The staff is incredibly kind and caring and so professional and helpful. I’ve been going here for over 30 years and they have gone out of their way countless times to make sure that I was well-cared-for. The nurses are excellent and always make sure to ask how my family is doing not to mention that they give the most painless allergy shots around. They remember little details about me and always make sure to give me a lollipop for my son, even when he’s not with me. Brooke is a great diagnostician and listener and each time I have an appointment with her, I always leave feeling better. The same is true for Dr. Engler.

My 10 year old son also has allergies and asthma and the staff makes sure that he feels well taken care of and comfortable, despite his having Autism and ADHD. He actually looks forward to going there with me, whether it be for my allergy shots or even when he needed allergy skin testing. When you’re a patient at the Allergy and Asthma clinic, you are treated as if you are the only patient they have, even when the waiting room is full. Dr. Engler has hired truly excellent staff, from the front desk people to the nurses and medical assistants. If you have allergies and/or asthma and you live on the Peninsula or even in the city, I highly recommend that you visit the Allergy and Asthma Clinic. They are truly amazing and will make you feel so much better.

-Sandi S.
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I had an amazing experience at this clinic. Dr. Engler and the staff were all extremely welcoming, warm, and thorough in their various lanes of work from the front desk to billing to the assistants to Dr. Engler himself.
One thing I wish I knew before coming in was that the food test covers 80 allergens, and the environmental test covers 80 allergens meaning if you want to do both you need to come two separate days. This is kind of a hassle but definitely worth it since you’ll be tested for 160 allergens whereas most clinics only test 80 total.
Through the tests I figured out what I was allergic to and was advised to use an over the counter medication which has drastically helped and eliminated the symptoms I was experiencing. Dr. Engler also covered all the things I needed to do to reduce my symptoms via my lifestyle which was super helpful with my symptom reduction as well. I’d highly recommend this clinic! Insurance covered the tests and visits. (I have anthem blue cross)
-Christina L
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I’ve been a patient at The Allergy and Asthma Clinic for over 12 years, and I can’t speak highly enough of the care I’ve received. Growing up with severe pollen allergies, I’ve been on and off allergy shots for years, and this clinic has truly been a lifesaver for me.
From the moment you walk in, you’re treated like family. The staff is incredibly kind, caring, and genuinely invested in your well-being. I have never had a negative experience with anyone here; everyone is consistently friendly and supportive.
Dr. Engler is exceptional! He has a remarkable ability to quickly and effectively address any situation. His expertise and compassionate approach have made a significant difference in managing my allergies.
If you’re struggling with allergies or asthma, this is the place to go. I wholeheartedly recommend The Allergy and Asthma Clinic to anyone seeking top-notch care.
-Trevor C