Allergy test form 2025

See details

3.9 out of 5

28 votes

The document is an Allergy Skin Test Report Form used to record patient information, testing details, and results of allergy skin tests. It includes sections for general information about the testing protocol, results measurement for percutaneous and intradermal tests, and interpretation of findings. The form also specifies the last use of antihistamines and provides a list of allergen extract manufacturers.

Here's how it works

01. Edit your allergy test form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send allergy test sheet via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out allergy test form with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the allergy test form in the editor.
Begin by entering the practice name and ordering physician's details, including city, state, street address, zip code, telephone, and fax number.
Fill in the patient's name and date of birth. Ensure you also enter the patient number for identification.
Record the testing technician's name and note the last use of antihistamine or any other medication affecting histamine response.
Input the testing date(s) and time for both percutaneous and intradermal tests. Specify locations on the body where tests are conducted.
For each allergen tested, document the concentration and extract manufacturer. Record results for wheal (W) and flare (F) measurements at 15 minutes.
Complete control results for both percutaneous and intradermal tests, indicating negative or positive outcomes as necessary.

Start using our platform today to easily fill out your allergy test form online for free!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How to get a free allergy test?

A GP may arrange some allergy tests or refer you to a specialist allergy clinic to have them. Tests you may have include: a skin or patch test where a small amount of the allergen is put on your skin to see if it reacts. blood tests to check for allergens that may be causing your symptoms.

How much does it cost to have an allergy test?

Consultations New Patient Appointment350 Skin Testing 200 Lung Function Testing 120 Exhaled Nitric Oxide Testing 120 Atopy Patch Test 1201 more row

How much does an allergy test cost with no insurance?

The cost of an allergy test can vary widely based on factors such as the type of test, the number of allergens tested, and your geographical location. On average, skin tests can range from $60 to $300, while blood tests can cost between $200 and $1,000.

How do I request an allergy test?

Anyone can request (or obtain) IgE allergy blood testing from their primary care provider. A wide range of tests can identify 500+ relevant allergensincluding grasses, foods, molds and animal danderto help you get the allergy answers you need.

Will insurance pay for an allergy test?

In most cases, if allergy testing is recommended by your provider for a medical reason, and performed by an in-network specialist, it will be covered as a diagnostic service under your Marketplace plan.

at home allergy test

Allergy consent Form Allergy injection log sheet Allergen immunotherapy Administration form Allergy immunotherapy documentation requirements Allergy immunotherapy build-up schedule Immunotherapy Consent form Allergen immunotherapy extract prescription example

What are the 7 allergy symptoms?

Directly purchase your specific IgE blood test from a lab. No doctor referral is needed and you can make your purchase with or without insurance. Your blood will be drawn in a professional lab setting by a trained phlebotomist. Choose an option close to you.