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Do you work in a clinic, salon, or lab that conducts patch tests? An online form can help provide increased convenience for your users and help you improve efficiency in your processes. If you’re looking for a template to get started with, try this WPForms’ Patch Test Form Template.

Why Publish a Patch Test Form?

Any medical procedure can be delicate and can be influenced by factors such as the patient’s prior medical conditions and treatments, medications, and so on. Before you perform even a relatively minor procedure like a patch test, these are details you might want to have. The WPForms’ Patch Test Form Template makes it easy to collect this information.

The template is relatively simple, using a mix of single-line and paragraph text fields. To begin with, there are basic Name, Email, Phone, Address, and Date of Birth fields to help collect user contact details.

Next, there are a series of paragraph text fields that allow users to go into the details of their medical histories. Overall, this is a simple but effective patch form template.

Get started with WPForms today to create and customize your own patch test form. Signing up with WPForms gives you access to this and hundreds of other pre-made templates.