The patient returned to our office and had 17 intracutaneous tests to reaffirm that he was allergic or not allergic to some additional allergens. We also performed a set of allergy tests by the epicutaneous method. We discussed giving allergy injections for those allergens which were unavoidable. I then gave him his first allergy shot divided up into his left and right arm.
I felt that I had communicated why he was going to be getting allergy injections and why we were going to try to improve his chronic sinusitis problem. The next day the patient stopped payment for his $76 charge.
I think that, as a practicing allergist who is board-certified, I personally provided an adequate examination as well as an adequate allergy testing, both epicutaneous and intracutaneous, as well as consultation services. He was also given his first allergy injection, and he was made fully aware of all the problems related to injections.
I hope that this establishes some additional information concerning this problem.
Sincerely yours,
Name.
FOOTNOTE
Line 13. Re (regarding) was not dictated but was inserted into this letter to demonstrate proper format.
Line 21. Nonavoidable (not in any dictionary) was changed to unavoidable.
Line 23. Alternative: Arms.
Line 30. The redundant that which follows certified was deleted.
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