Category Archives: Patient Information

Medical Handouts

New Patient Packet Patient Medical History Record Allergy & Allergic Rhinitis Asthma - Fact Sheet/ Video Handout (Spanish) COPD - Fact Sheet (Spanish)/ Video Handout (Spanish) Eczema Headaches Urticaria Capital Allergy to Release Record Release of Antigen Consent Form Permission to be Involved in Patient Care Testing Sheet Consent Testing Sheet Consent Renewal Release Records…
Read more

Returning Patients

Assignment of Benefits Permission to be Involved in Patient Care Allergy & Allergic Rhinitis About Your Allergy Shots Asthma Dietary Instructions For Control of Gastroesophogeal Reflux Eczema Headaches Additive-Free Diet Relay Health Flyer PDF Reader Required to view forms Click Here for free reader. Appointments New and follow-up visits are by appointment only, with emergency visits…
Read more

Patient Form

(Click Below to Download) New Patient Packet Telemedicine Consent Form Assignment of Benefits Release Records to Capital Allergy Sacramento / Roseville / Folsom New Patient Fax/eMail Cover Sheet Sacramento / Roseville / Folsom Permission to be Involved in Patient Care Capital Allergy to Release Record Release of Antigen Consent Form Permission to be Involved in Patient Care Testing Sheet Consent Testing Sheet Consent…
Read more

***Updated 1/13/2021***


COVID Vaccine Update

Click Here to learn more

We do not expect to be a site for administration of the COVID19 vaccine.  Please check with your local public health department.

Use this link for more information on the state of California’s tiered system for vaccine administration.


Due to current recommendations made by the US Government/CDC – The Following will go into effect until further notice.

Within the health care community as a whole, there has been an overall increase in the number of patients not seeking necessary medical treatment due to concerns about COVID-19.

If you have a medical problem, please contact your health care provider. It’s important not to delay seeking treatment when you need it.

We are currently open for in-office visits and will continue to offer telemedicine visits moving forward. We understand you might have concerns about coming in to see your health care provider. We want you to know about the steps we are taking to ensure your safety and help prevent the spread of infection:

o Mandatory Masking – All patients and visitors must be masked while in any of our care sites. Please wear a mask or face covering when you enter our facility.

o Limiting Individuals at Appointments – We will limit who is present at a patient visit. Only the patient will be allowed into the facility. If the patient is a minor, only one parent/guardian will be allowed to accompany the patient.

o Temperature Checks – All patients (and parent/guardian if patient is a minor) will have their temperatures checked at the door. Anyone with a temperature of 100 degrees or higher will be asked to reschedule their appointment or conduct the appointment via telemedicine.

o Employee Screening – We’ve instituted mandatory employee temperature screenings before each shift.

New Injection Hours – Effective 7/6/2020

Folsom Office
Monday 8:00-11:45 / 1-4:45
Tuesday Closed
Wednesday 8:00-11:45 / 1-4:45
Thursday 8:00-11:45 / 1-4:45
Friday 8:00-11:45 / 1-4:45

Roseville Office
Monday 9:00-11:45 / 1-4:45
Tuesday 8:00-11:45 / 1-4:45
Wednesday 8:00-11:45 / 1-4:45
Thursday 8:00-11:45 / 1-5:45
Friday 8:00-11:45 / 1-4:45

Monday 9:00-4:45
Tuesday 8:00-5:45
Wednesday 8:00-4:45
Thursday 9:00-4:45
Friday 8:00-4:45