Two quick steps. Type straight into the forms on screen, save them, and email them to referrals@vidamedical.com.au at least 7 days before your appointment.
ASCIA Clinical History Form
From the Australasian Society of Clinical Immunology and Allergy. Your allergy history and a record of each reaction.
Open the ASCIA form ↗Vida questionnaire
Pick the one that matches your symptoms from the list below. Each is a fillable PDF you can type into, save and email back to us.
Choose your questionnaire
Symptoms, seasons and triggers, nasal symptom score (TNSS), ARIA scale, treatments tried.
Download ↓Your reactions, foods you eat or avoid, exercise and other triggers.
Download ↓Reactions, feeding history and when each common allergen was introduced.
Download ↓Pattern and triggers, plus a daily hives and itch score for the week before your visit.
Download ↓Triggers, symptom control over the past 4 weeks, flare-ups and your inhalers.
Download ↓Where the rash is, your work and hobbies, and the products you use.
Download ↓Tip: photos of reactions are gold. Snap a picture whenever a rash, swelling or hives appear and bring them to your appointment.
Ready to find your triggers?
Allergy appointments can't be booked online. Email your completed ASCIA Clinical History Form or call us, and our doctors will review it and contact you within 7 business days.