woman with face mask

Due to recent CDC guidelines, we are taking precautions to keep our patients and staff safe.

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What to expect for your upcoming appointment


Bring a mask or scarf to cover your nose and mouth throughout the visit.


Complete your check-in at home before you arrive or in your car using the provided link. 


When you arrive, call our office as the doors will be locked. Please do not congregate in front of the doors. 


A nurse will call or text you to notify you when to come to the door. 


Pulmonary Function Tests will only be conducted on a very limited basis. Only a minimal physical exam will take place. 

Please do not enter the building if you have:

  • Any flu-like symptoms, including:

    • Fever​

    • Chills

    • Body Aches

    • Fatigue

    • Vomiting

    • Nausea

    • Shortness of Breath

  • or if you have traveled to or through China, Iran, Italy, Japan, South Korea, or all significantly affected parts of the US; or have had contact of any kind with a person who has been exposed to the  Coronavirus.

If you are experiencing any of the symptoms listed above and your symptoms are mild, you may be able to remain at home. If they persist or worsen, we recommend that you call your Primary Care Physician or visit the Emergency Department.  

As a practice, we are taking the following precautions:

  • We are implementing social distancing and are limiting nonessential visitors to our office. Please attend shot appointments or regular appointments alone, or in the case of minors, with one parent or guardian.

  • As a practice, we have also implemented a mandatory masking policy. Anyone who enters the facility will be required to wear a mask at all times. 

  • Most visits will be conducted via Tele-health, where available. If you have an upcoming visit, our staff will be reaching out with details. 

  • We have implemented an automated check-in system, allowing you to complete your paperwork from your home or car. 

  • We have adjusted shot hours and implemented shot-scheduling. Our Roanoke and Lynchburg offices will be closed for injections on Fridays. Our Salem office will be closed for injections on Thursdays. 

  • We have also updated the process for administering injections. Please click here for details. ​

  • We have also implemented more stringent sterilization procedures at all 3 offices to ensure staff and patient safety.

  • For more information about how to stay healthy, please see the Center for Disease Control's website here.

We appreciate your cooperation and understanding throughout this process. We serve many high risk patients with Asthma and Immune deficiencies that are especially vulnerable to this disease and so it is of utmost importance that we do all we can to ensure their well-being.