Allergy Testing Lab Requisition Form

What is an Allergy Requisition Form?

Allergy testing custom requisition forms are used by physicians when requesting an evaluation of the immune system’s response to potential allergens. Medical professionals perform skin and blood tests indicating which allergens invoke negative reactions in a patient. The custom integrated label form is sent to a reference lab with specimens to be tested. The physician then analyzes results to identify allergies and treatments.

Allergy Testing Requisition Forms Include:

  • Extended NW Allergy Panel
  • Limited NW Allergy Panel
  • Limited Food Allergy Panel
  • Finned Fish Allergy Panel
  • Shellfish Allergy Panel
  • Tree Nut Allergy Panel
  • Aspergillus Hypersensitivity Panel
  • Other Allergen Testing

Types of Allergens:

Allergies can exist from birth or develop later in life. Many patients aren’t even aware that they have allergies. Proper identification can educate patients as to what foods, plants or places to avoid and lead to a higher quality of life. Common allergens include the following:

  • Pet Dander
  • Pollen
  • Fish
  • Shellfish
  • Nuts
  • Wheat
  • Soy
  • Eggs
  • Dairy
  • Plants

Allergy Symptoms:

An affected patient may experience respiratory, skin or abdominal irritations ranging from mild to severe. Some allergens may cause anaphylaxis, a life-threatening reaction that closes the airways and causes patients to lose oxygen. Physicians can mitigate serious reactions with epinephrine, an injection of medicine that counteracts anaphylaxis. Common immune responses can include one or more of the following:

  • Respiratory
    • Itchy Eyes, Nose, and Throat
    • Runny nose
    • Watery eyes
    • Chest Congestion
    • Coughing
    • Wheezing
    • Nasal Congestion
  • Skin
    • Itchiness
    • Eczema
  • Abdominal
    • Diarrhea
    • Vomiting
    • Cramping
  • Severe Skin Reactions
  • Anaphylaxis

We offer several custom medical forms and lab requisition forms with design options and features tailored to your unique needs. Our clients include Drug Treatment Centers, General & Reference Labs, Home Health, Hospitals, Nursing Homes, Physicians & Providers, Wellness Centers & Clinics, and Nutritionists.

  • Custom Branding with your Logo
  • Tailored Layout Design
  • Multi-Part NCR Forms
  • 2-D Barcoding
  • Serialized Numbering
  • Integrated Labeling with Custom Die Design
  • Several Page Colors Available
  • Thousands of Pantone Ink Colors Available

Who We Are

Forms.MD specializes in the design & printing of custom requisition forms, custom integrated label form, and chain of custody forms, general printing, medical website design, branding and logo design, internet marketing, and Local Search Engine Optimization (Medical SEO). Our team of experienced professionals has worked with hundreds of small to enterprise level business on projects ranging from multi-site web development to national branding to product development. We value customer service and support above all. Contact us today!

Our Lab Requisition Forms Include: