Get the free Metal sensitivity kit forms 2013-2014.doc

WWW.orthopedicanalysis.com LYMPHOCYTE TRANSFORMATION TESTING (LTT) AND/OR METAL ION TESTING SERVICE (ALL FIELDS REQUIRED) Patient Last, First Name, M.I. Mail or email Results to Patient: Mailing Address

How to fill out metal sensitivity kit forms

How to fill out metal sensitivity kit forms:

1. Carefully read the instructions: Start by thoroughly reading the instructions provided with the metal sensitivity kit forms. This will give you a clear understanding of the information required and the format in which it needs to be filled out.
2. Provide personal information: Begin by filling out your personal information accurately. This may include your full name, date of birth, contact information, and any other details specifically requested on the form.
3. Mention relevant medical history: The metal sensitivity kit forms may require you to provide information about any past or current medical conditions, especially those related to metal allergies or sensitivities. Be sure to provide accurate and detailed information to assist in the evaluation process.
4. Fill out any symptom questionnaire: Some metal sensitivity kit forms might have a section where you are required to answer specific questions about any symptoms you may have experienced related to metal exposures. Take your time to answer each question honestly and to the best of your knowledge.
5. Describe any previous metal exposures: If the forms ask for details about past or present metal exposures, make sure to provide accurate information regarding any implants, surgeries, or known exposures to specific metals.
6. Follow any additional instructions: Depending on the specific purpose of the metal sensitivity kit forms, there may be additional sections or instructions that you need to follow. For example, you may be asked to provide a skin sample or undergo a patch test. Follow these instructions carefully to ensure accurate results.

Who needs metal sensitivity kit forms?

1. Individuals with suspected metal allergies: Metal sensitivity kit forms are typically needed by individuals who suspect they have allergies or sensitivities to certain metals. These people may have experienced symptoms such as skin rashes, itching, or swelling after exposure to metal-containing objects.
2. Patients about to undergo surgery or implant insertion: Before undergoing surgery or receiving metal implants, patients may be required to fill out metal sensitivity kit forms as a precautionary measure. This helps identify any potential risks or adverse reactions to specific metals used in medical devices.
3. Individuals with a known history of metal allergies: People who have a known history of allergies or sensitivities to certain metals are often required to complete metal sensitivity kit forms. This information is crucial to ensure their safety during various medical procedures, including the selection of suitable materials for orthopedic implants or dental work.

Note: It is always best to consult with a healthcare professional or follow the specific instructions given by the organization providing the metal sensitivity kit forms. They can provide personalized guidance and ensure accurate completion of the forms based on your unique circumstances.

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