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Patch test record form

Use the Patch Test record form to easily keep track of test sites and patient test results when patch testing one of our standard, occupational or national baseline hapten series . (You need to be logged in in order to use this feature)


  • Type in the name of the series in the box below.
    (Is the search box not visible? Make sure that you are logged in)
  • Fill in patient / clinic information (optional).
  • Click "Generate form"
  • Print the Patch Test record form.
  • Use the printed sheets to keep track of patch test sites and patch test reactions



Chemotechnique MB Diagnostics AB
Modemgatan 9 | SE-235 39 | Vellinge | Sweden
Tel +46 40 466 077 | VAT SE556245005501
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