This function is ONLY available to patients previously seen by Dr Sam Mehr in his private rooms. You can use this easy online tool to request an FPIES ASCIA Action Plan from Dr. Sam Mehr.

Simply add this Action Plan to the cart and checkout. Dr. Sam Mehr will use your order details to complete your Action Plan and mail you with a printed copy as soon as possible (expect delivery within 2 weeks).

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Current Food Allergies *

Please enter all known food allergies below

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