Notice

Please complete the form on this page in order to have your OIT practice listed on the FAST website.  Mandatory fields are indicated with an asterisk.

You must list a board-certified allergist as the primary OIT physician. If you would like to post the names of other physicians or advanced practice providers (PAs, NPs), you may do so in the “Additional OIT providers” field. If you wish to have multiple practice locations as separate listings, these will require separate fees.  However, keep in mind that your practice URL will be listed. This may be a more efficient way for patients to view practices with multiple locations.

Credit card information will not be stored.  Listing will be paid up until December 31, 2021.

Practice Info
Billing Address
Billing Address
City
State/Province
Zip/Postal
Credit Card
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