Take control of your allergies, take control of your life!

Southwest Virginia’s leading experts in environmental allergies

“I get my allergy shots here. Love the staff and nurses. Glenna is GREAT at the front desk. She is always pleasant and professional. The nurses are wonderful.” —Debby

Over 50 million Americans suffer from allergies each year. Allergies can keep you from enjoying your life to its fullest but getting started with immunotherapy can sometimes be intimidating. We can help.

Our board certified ENTs offer comprehensive allergy services to both adults and children over 5 years of age including testing, serum mixing and preparation, injections, and SLIT therapy. With a 60-70% reduction in symptoms, allergy immunotherapy is a proven, cost effective treatment for environmental allergies.

Let our dedicated staff will answer your questions and help you develop the best plan for you to take control of your allergies.

The RAP allergy screening test

What if four simple questions could accurately predict who should be tested for allergies? Originally developed in Italy, the Respiratory Allergy Prediction (RAP) test is a simple for question screening that can predict the likelihood of a positive allergy skin test with an accuracy of up to 94.6%.

  1. Do you have parents/relatives suffering from rhinitis and/or asthma?
  2. Do your nasal or ocular complaints issues start or worsen during the spring?
  3. Did you ever have coughing or shortness of breath, even during exercise?
  4. Do you use nasal sprays frequently?

If you answered “yes” to any of the questions above, you may have environmental allergies. LewisGale ENT, Allergy, and Head and Neck Surgery can perform an allergy skin test to help determine which allergens you may be sensitive to and develop a specialized treatment plan to suit your individualized needs.


We utilize a simple, safe process that involves testing the skin on your arm to see if you have environmental allergies. Our experienced staff will make you comfortable and answer any questions you may have prior to your test. We comprehensively test for:


  • Cedar
  • Cottonwood
  • Elm
  • Maple
  • Oak
  • Pine
  • …and more

Animals and insect

  • Dust mites (Farinae and Petrony)
  • Cat
  • Dog
  • Cockroach
  • …and more


  • Alternaria
  • Penicilium
  • Candida
  • Aspergillus
  • Hormodendrum
  • Trichosporium
  • …and more


  • Bahia
  • Bermuda
  • …and more


After your provider reviews the results of your testing, we will prepare serum individualized to your specific needs. To make things even easier, we offer you the choice of the immunotherapy method is right for you:

  • Allergy shots, the most common traditional immunotherapy, consists of injections in the upper arm at either our office or at your Primary Care Physician’s office on a weekly or bi-weekly basis.
  • Sublingual Immunotherapy, or SLIT, involves drops taken under your tongue daily in the comfort and convenience of your own home.

Call or make an appointment on line to take control of your allergies and take control of your life!