MidCentral Health's Anaesthetic Allergy Testing Referral Form - to be completed by clinicians only.
The MidCentral Health
Anaesthetic Allergy Testing Referral Form (77KB - PDF) is available for clinicians to use.
Please send completed form to:
Department of Anaesthesia, Palmerston North Hospital
Please Note:
The Department of Anaesthesia only performs skin testing for anaesthetic drugs and possible theatre allergens in the event there has been a documented suspected anaphylactic reaction. The spectrum of possible allergens tested in our clinic includes IV anaesthetics, some opioids, all muscle relaxants, local anaesthetics, latex, colloid and chlorhexidine.
A suitable immunology department should be sought for the testing of minor reactions and other allergens.