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STANDARD DATA COLLECTION FORM Lot No. Patients Name Chart No. Age Sex (M/F) Race Physicians Name Address Phone City State ZIP PANEL 1.3 1 Nickel Sulfate 7 Colophony POSITIVE REACTIONS Allergen No.

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How to fill out the TRUE TEST Standard Data Collection Form online

Filling out the TRUE TEST Standard Data Collection Form online is an important step in documenting patient information accurately. This guide provides clear and supportive instructions to help users navigate each section of the form effectively.

Follow the steps to complete the form accurately

  1. Click ‘Get Form’ button to access the TRUE TEST Standard Data Collection Form and open it in your chosen online platform.
  2. Begin by filling in the lot number at the top of the form. This identifies the batch of testing materials used.
  3. Enter the patient’s name in the designated field to ensure that the data collected pertains specifically to them.
  4. Fill in the chart number to link the data with the patient’s medical records. Then, provide the patient's age, sex (M/F), and race in the respective sections.
  5. Complete the physician’s name field along with their address and phone number. This information is crucial for follow-up and verification purposes.
  6. In the panels of allergens, indicate the relevant positive reactions. You will mark the allergen numbers next to the positive reactions using the provided codes.
  7. For clinical relevance, choose whether the reactions are present, past, or unknown, marking the appropriate box.
  8. Document the dates for the application of allergens and the readings by filling in the fields for the first, second, and third readings as needed.
  9. Review all completed sections for accuracy before finalizing the form.
  10. Once finished, save your changes, and you will have options to download, print, or share the completed form as required.

Start completing the TRUE TEST Standard Data Collection Form online today to ensure accurate documentation and support for testing procedures.

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1 INDICATIONS AND USAGE more of the 35 allergens and allergen mixes included on the T.R.U.E. TEST panels.

YES! There is no natural rubber latex in T.R.U.E. TEST allergens, components or packaging. Therefore it is safe to use on patients who are allergic to natural rubber latex.

Epicutaneous patch testing is the gold standard method for the diagnosis of allergic contact dermatitis. Despite this knowledge, many clinical dermatologists do not offer patch testing in their offices or offer testing with only a limited number of allergens.

T.R.U.E. TEST® is an epicutaneous patch test indicated for use as an aid in the diagnosis of allergic. 7. contact dermatitis (ACD) in persons 6 years of age and older whose history suggests sensitivity to one or. 8. more of the 35 allergens and allergen mixes included on the T.R.U.E.

T.R.U.E. TEST contains three (3) adhesive panels consisting of 35 allergen and allergen mix patches and a negative control. Panel 1.3 contains 11 allergens and allergen mixes and a negative control. Panel 2.3 contains 12 allergens and allergen mixes.

Thin-layer rapid-use epicutaneous test (TRUE test) - Indian Journal of Dermatology, Venereology and Leprology.

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