U.S. Army Medical Department, Landstuhl Regional Medical Center
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Allergy/Immunization


Location:
3768, 2nd floor, Ward 10 D

DSN Phone:
590-5816

CIV Phone:
06371-9464-5816

Hours:
Monday-Friday:
7:30 a.m. - 4:30 p.m.
3rd Thursday of the month:
Open 1-4:30 p.m.

Closed for Federal Holidays


- Allergy Shots (scheduled though Allergy Clinic Staff)
Mondays and Wednesdays: 7:30 a.m. - 10:45 a.m.
Tuesdays and Thursdays: 1 p.m. - 3:45 p.m.

- Immunization Walk-In Hours
Mondays - Fridays: 7:30 a.m. - 4:15 p.m.

- Tuberculosis Skin Testing (TST or PPD) Walk-In Hours
Mondays, Tuesdays, Wednesdays & Fridays: 7:30 a.m. - 4:15 p.m.

Initial Allergy Consult: All initial allergy consultations should be made through a referral by your provider (physician, physician’s assistant, or nurse practitioner). To schedule an appointment with the Allergy Clinic (wait 48-72 hours to call), please call the main TRICARE appointment line (DSN 486-5762; Comm 06371-86-5762).

- Current referral guidelines are listed below:

1. Allergic Rhinitis - Minimum 2 week trial of antihistamines and nasal steroids (suggested although not required). If patient is already on immunotherapy (or has been previously), please have patient bring allergy shot serum, shot prescription(s), prior skin testing results, and prior allergy notes to appointment. Patients deploying or leaving military service within the year of evaluation are not usually put on allergy shots.

2. Asthma - Mild asthma should be managed via National Heart Lung Blood Institute guidelines by PCM. For patients with persistent asthma, allergy evaluation (either via RAST or skin testing) is recommended to screen for environmental/aeroallergen triggers.

3. Food Allergy - Food allergy reactions usually include symptoms such as hives/swell, respirator symptoms (upper and/or lower), nausea/vomiting/diarrhea, cramp, syncope/pre-syncope, and/or changes in blood pressure w/in min-2 hours of ingestion. If patient has been evaluated previously, patient should bring all prior testing results to first appointment.

4. Urticaria/Angioedema - Acute (duration<6 wks), unless there is specific trigger (ie food, animal exposure, medication), can be managed by PCM. Chronic (duration>6 wks) should have minimum 2 week trial on daily antihistamine; if fail, then send for evaluation; allergy testing not usually performed unless there is a patient-identified trigger.

5. Drug Allergy - If evaluation is for peri-operative drug reaction, please send operative report/list of medications used/timing of meds given.

6. Rash - Suspected aeroallergen/food triggers can be evaluated for atopic dermatitis/eczema. If exact diagnosis of rash is not clear, send to Dermatology before referring to Allergy.

7. Stinging Insect Allergy - Large local reactions and patient<16 y/o with hives/swelling only are not skin tested or put on allergy shots.

8. Latex Allergy - Latex IgE (RAST) prior to Allergy referral.

9. Anaphylaxis - Acute symptoms should be managed in ED/PCM clinic. Further evaluation can be via ROUTINE allergy consultation.

10. All Other Suspected - Send consult for further review by Allergy Clinic staff

Traveling outside the United States or Europe? Travel vaccines can be administered in our clinic but require a written prescription from a provider. There are four clinic sources to fulfill your travel medicine requirements:

1. Travel Medicine (Infectious Disease, LRMC) Clinic: Walk-In to 3A or call 06371-9464-5827 to make an appointment. No referral is needed. This is for all TRICARE-eligible patients who are 13 years of age and older; please provide the names of ALL patients requiring an appointment at the time of booking.

2. Travel Health (Occupational Health, LRMC) Clinic: Call 06371 9464 6040 to make an appointment. A referral to Occupational Health is preferred, and you can request a referral from your PCM or the Immunizations Clinic. This is for all TRICARE-eligible patients of all ages, so the whole family can be seen at the same time, if requested.

3. Deployment Medicine/Travel Medicine (Ramstein) Clinic: Call 06371-46-2525 to make an appointment (preferred), or walk-in to Building 2114, Room 126. This is for all TRICARE-eligible beneficiaries of all ages who are empaneled to the Ramstein Clinic.

4. Your PCM
**If you are an active duty member or a DoD civilian traveling on government orders for 30 days or more, please visit your local deployment center**"

Items to bring: Valid ID card and immunization records (if available).