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Allergies, seasonal
Texas Telemedicine DoctorÂ
This form is for seasonal allergies. Seasonal allergies are allergies to pollen, grasses, mold, etc. If you are experiencing an allergic reaction to something else, please use the "Other" form.
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Last name
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Has Dr. Crump seen you for your allergies before?
*
Yes
No
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