Navigate Up
Sign In

Anaesthetic Allergy Testing Referral Form

  • Twitter
  • Facbook
  • YouTube
  • Instagram
  • Linkedin
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.

Please tell us what you think of our services.

Send a message to a patient at a MidCentral DHB facility.

General information about Palmerston North Hospital.