Share Your Allergy Drop Story

Thank you for considering sharing your story!

At Allergy Associates of La Crosse, we know the real impact of sublingual immunotherapy comes through our patients’ experiences.

Whether you’ve just started allergy drops or you’ve been with us for years, your story can inspire others to get the care they need.

We’re so grateful you’re part of our community!

If you’d like to share your journey of how sublingual immunotherapy treatment through Allergy Associates of La Crosse has helped you, we’d love to hear from you. You can share your story below or call our practice, (608) 782-2027. Thank you for including Allergy Associates of La Crosse in your care!

Patient Name*
First Last
Patient Birthdate*
Month
Day
Year
Address*
City State
Phone*
Email*
Testimonial Type*
- I would like to submit a written testimonial
- I would like to schedule an in person or video chat interview
Your Comments
Please do not include any secure information through this form.
Is the testimonial about a minor?*
- Yes, comments are about someone under 18
- No, comments are about someone over 18
If interviewee is a minor, I grant permission on his/her behalf as parent or guardian*
- Yes
Guardian Name*
First Last
Relationship to Patient*
Release Acknowledgement*
I consent to Allergy Associates of La Crosse and its media partners to record, print, reproduce and broadcast my testimonial comments regarding my experiences as an employee or patient of Allergy Associates of La Crosse. I understand and agree that I will not be paid or compensated in any way for the use of my name or comments. I further agree that my comments will be edited for length and clarity, and that some or all of my comments may be used in or deleted from materials created for or in relationship to Allergy Associates of La Crosse. I further agree to hold harmless Allergy Associates of La Crosse and its media partners for any damages, or consequences foreseen or unforeseen, caused by my decision to participate in testimonial advertising, documentary or educational material development.
- Yes

Request an Appointment

Name*
Phone*
Email*
Address*
State
Comments
Consent*
I consent to having this website store my submitted information so they can respond to my inquiry.

Share Your Allergy Drop Story

Thank you for considering sharing your story!

Share Your Allergy Drop Story

Request an Appointment

Success Stories