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BARRINGTON PUBLIC SCHOOLS ALLERGY & ANAPHYLAXIS EMERGENCY CARE PLAN PLACE STUDENT S PICTURE HERE Name: DOB: Teacher/Cluster: Allergy to: Weight: lbs. Asthma: Yes (Higher risk for a severe reaction)
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How to fill out Barrington Public Schools allergy form:

01
Begin by obtaining the allergy form from the Barrington Public Schools website or the school administration office.
02
Fill in the student's personal information, including their full name, date of birth, grade level, and contact information.
03
Provide accurate details about the specific allergies the student has, including the allergen(s) they are allergic to and the severity of the allergy.
04
Indicate any known triggers or symptoms associated with the allergy, such as specific foods or environmental factors that may cause a reaction.
05
If the student requires medication or treatment for their allergy, note the details of the medication and any specific instructions for its administration.
06
If necessary, attach any additional documents or medical records supporting the allergy information provided.
07
Sign and date the form to certify the accuracy of the information provided.
08
Submit the completed allergy form to the Barrington Public Schools administration office or the designated personnel specified on the form.

Who needs Barrington Public Schools allergy form:

01
Students with known allergies who attend Barrington Public Schools.
02
Parents or guardians of students with allergies who attend Barrington Public Schools.
03
School staff and administration responsible for ensuring the safety and well-being of students with allergies and managing any necessary accommodations or emergency procedures.
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Barrington Public Schools allergy refers to any known allergies that a student may have which need to be reported to the school for safety reasons.
Parents or guardians of students attending Barrington Public Schools are required to file information about their child's allergies.
Parents or guardians can fill out the allergy information form provided by the school or submit any relevant medical documentation.
The purpose of Barrington Public Schools allergy reporting is to ensure the safety and well-being of students with allergies while at school.
Parents must report any known allergies that their child has, along with information on how to manage those allergies and any necessary emergency procedures.
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