Aviva Miriam Notowitz
DOB: April 6, 1974

Anaphylactic allergies to multi foods and drugs.

Allergic to the following drugs:
sulfa, penicillin, cephalosporins.

Also allergic to latex.

Treat with EpiPen (usually located in handbag) and call 911.

Severely allergic to most animals, even those
considered "hypoallergenic”.
Severely allergic to dust mites, moderately allergic to pollens.

Anaphylactic allergies to all fruits 

EXCEPT FOR THE FOLLOWING:

Banana

Orange 

Lime

Grape 

Olive

Tomato

All melons

Mango


ANAPHYLACTIC Allergies to ALL NUTS 

EXCEPT FOR the following: 

pistachio

cashew

VERY MILD ALLERGY TO PEANUTS—I CAN EAT FOODS PROCESSED ON THE SAME MACHINERY AS PEANUTS, NO NEED TO SEPARATE

MODERATE ALLERGIES TO THE FOLLOWING VEGETABLES:

carrots

green beans

green peas

soy beans (soy bean oil and soy sauce are ok)

edamame beans

allergic to tofu

allergic to rice milk, soy milk, and every kind of non-dairy milk substitute

all regular dairy products are okay

Raw eggs (but cooked, baked, or fried eggs are okay)

Tofu

Dr. Alan Steinberg 310-437-6450
BLUE SHIELD PPO
XEN900218538
My husband, David Notowitz: 310-210-5915