Register

Hidden Fields
1. How would you describe your allergy symptoms?
- Severe - Symptoms are always present and interfere with life/sleep
- Moderate - Symptoms are present and uncomfortable
- Light - Symptoms come up infrequently and are easily manageable
2. What is your current allergy care? Select all that apply.
- None
- Over-the-Counter medicine (Zyrtec, Claritin)
- Prescription drugs (Singulair)
- Immunotherapy (Allergy shots or drops)
- Other
3. What state do you live in?
State / Province / Region
Full Name*
First Last
Preferred First Name*
May be your name above or whatever you prefer to go by.
Date of Birth*
Date Format: MM slash DD slash YYYY
Phone*
We may text or call this number regarding your Open treatment, but no we do not sell patient contact info. We hate spam too.
Mailing Address for Prescriptions*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Username*
Note this cannot be changed, but your email can also be used to login.
Email*
Enter Email Confirm Email
Password*
Enter Password Confirm Password

Strength indicator

Your password should comprise of a random combo of at least 11 characters. We take the security of your health data seriously. Modern passwords are pretty complicated and we know it's hard to remember - just store it somewhere secure, like your iCloud Keychain or Password Manager.
Name
This field is for validation purposes and should be left unchanged.

Hidden Fields