Chronic Urticaria Assessment Form

Managing chronic urticaria (chronic hives) requires detailed tracking and assessment to identify patterns, triggers, and treatment effectiveness. This Chronic Urticaria Assessment Form template helps healthcare providers, allergists, and dermatology clinics gather comprehensive patient information about hives frequency, severity, potential triggers, and medication response.

Whether you're running an allergy clinic, dermatology practice, or immunology center, this form streamlines the intake process by capturing essential data about urticaria episodes, quality of life impact, and previous treatment attempts. The structured format ensures you collect all the information needed for accurate diagnosis and personalized treatment planning.

Built for healthcare teams that need to:

• Track hives frequency, duration, and severity patterns over time
• Identify potential triggers including foods, medications, environmental factors, and stress
• Monitor antihistamine response and previous treatment efficacy
• Document angioedema episodes and associated symptoms
• Assess quality of life impact and functional limitations
• Prepare comprehensive data for allergist or specialist consultations

With Paperform's conditional logic, the form adapts based on patient responses—showing relevant follow-up questions about specific triggers, medication side effects, or emergency episodes only when needed. You can embed this form directly into your patient portal, share it via email before appointments, or use it as part of telehealth consultations.

Once submitted, responses can flow directly into your EHR system via Stepper workflows, trigger appointment scheduling confirmations, or generate follow-up task lists for your clinical team. For practices using Papersign, you can automatically generate and send consent forms for allergy testing or specialized treatments based on the assessment findings.

This template is ideal for allergists, dermatologists, immunologists, primary care physicians, and healthcare clinics focused on delivering thorough, patient-centered care for chronic urticaria management.