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Anaesthetic Allergy Testing Referral Form

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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.

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General information about Palmerston North Hospital.