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APPENDIX E Niagara Catholic District School Board CLASSROOM ALLERGY ALERT FORM Place student's photo here. Name of Student: Grade: Teacher: D.O.B.: Telephone Numbers Home: Moms work: Dads work: Doctor:
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How to fill out classroom allergy alert form

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How to fill out a classroom allergy alert form:

01
Start by filling out your personal information section, including your name, contact information, and any other required details.
02
Specify the specific allergies that you or your child has. Be sure to include the allergy triggers and the severity of the reaction.
03
Indicate any required medications or treatments for the allergies. Include the dosage, frequency, and any other necessary information.
04
If applicable, mention any additional accommodations or special instructions that may be required to ensure the safety and well-being of the individual with allergies.
05
Provide emergency contact information, including names, phone numbers, and relationships of individuals who should be notified in case of an allergic reaction.
06
Review the form to ensure all sections are completed accurately and thoroughly. Make any necessary corrections or additions.
07
Sign and date the form, indicating your agreement with the provided information.
08
Submit the completed form to the appropriate individual or organization responsible for maintaining allergy alert information.

Who needs a classroom allergy alert form:

01
Individuals with severe allergies to certain substances or foods who are attending school or spending time in a classroom environment.
02
Parents or guardians of children with allergies who need to inform teachers, staff, and other students about their child's allergies.
03
School personnel, including teachers, nurses, and administrators, who need to be aware of and prepared for potential allergic reactions in the classroom.
04
Individuals with allergies who participate in extracurricular activities or after-school programs where allergens may be present.
05
Any individual who may have a role in providing care or assistance to someone with allergies in a classroom setting.
Note: The specific requirements for who needs a classroom allergy alert form may vary depending on the school or organization's policies and guidelines. It is always best to check with the relevant authorities to ensure compliance with their regulations.
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The classroom allergy alert form is a document used to notify school staff about a student's allergy and provide information on how to manage it in the classroom.
Parents or guardians of students with allergies are required to file the classroom allergy alert form.
The form typically requires basic information about the student, details of the allergy, symptoms, emergency contact information, and any necessary medications or treatments.
The purpose of the classroom allergy alert form is to ensure the safety and well-being of students with allergies while they are at school.
The classroom allergy alert form must include the student's name, date of birth, specific allergy, reactions to the allergy, emergency contact information, and any medications or treatments.
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