[anonymous]

The dermatologist can do intradermal skin testing , the regular vet can’t. This would lead to immunotherapy ($)

I would wait and see how the dog responds to treatment by the regular vet.

Sometimes the allergies are seasonal, working with your regular vet you may be able to decrease the meds in late fall/ winter.

If the symptoms go on for 1 year/4seasons without significant periods of relief then yes I would consult a dermatologist.

Some dogs respond to immunotherapy (desensitization shots) its expensive.

Give it ( Apoquel) some time.