This form has been designed to help the campaign gain a fuller understanding about allergic reactions, what cause them, and what is the best treatment. Information we gather will be made available to doctors and scientists working in allergy research. If you, or a family member, has an allergic reaction to a food or substance , however minor, would you please fill in the form as soon as possible after the reaction has occurred- and after the patient has recovered.
The identity of the person who has had the allergic reaction will be kept confidential, unless permission has been obtained first. Please call us on 01252 542029 if you need help filling in this form.