Atopic Dermatitis Center

Forms

Please fill out the following forms to help us determine if the Atopic Dermatitis Center is right for your child. Once the forms are completed and returned to us, the scheduling office will contact you.

• Allergy New Patient History Form
• Survey of behavioral concerns

Completed forms can be returned by email or sent via UPS mail to our clinic coordinator Jeanne Testa at:

Mailing address
Boston Children's Hospital
Atopic Dermatitis Center
300 Longwood Ave, Fegan 6
Boston, MA 02115

Email: Jeanne.testa@childrens.harvard.edu          

Phone
617-355-6180