Get the free Bee or Insect Allergy Assessment Form

NORTHWEST EDUCATIONAL SERVICE DISTRICT 189 FORM 3420F3 Page 1 of 1 Bee or Insect Allergy Assessment Form Student Name: Date of Birth: Parent/Guardian: Phone: Cell/work: Health Care Provider (name)

How to fill out bee or insect allergy

How to fill out bee or insect allergy:

1. Start by gathering all relevant information about the person experiencing the bee or insect allergy. This includes their name, age, medical history, any known allergies, and contact information.
2. Provide a detailed description of the allergic reaction experienced by the person. This may include symptoms such as itching, swelling, hives, difficulty breathing, or anaphylaxis. It is important to note the severity and duration of these symptoms.
3. Include information about any previous instances of allergic reactions to bee or insect stings. This could include any previous medical treatments or interventions.
4. Specify whether the allergic reaction is specific to bees, wasps, hornets, or other insects. Different insects can have different venom compositions, leading to varying allergic responses.
5. If known, mention the specific type of insect responsible for the allergic reaction. For example, if the person is allergic to honeybees, indicate that in the form.
6. If the person has undergone any allergy testing or has been diagnosed with an insect allergy by a healthcare professional, provide details about these tests or diagnoses. This could include information about skin prick tests, blood tests, or immunotherapy treatments.
7. It is important to inquire if the person carries any prescribed emergency medications, such as an epinephrine auto-injector (e.g., EpiPen), to be used in case of severe allergic reactions. Request information about the expiration date and administration instructions for these medications.

Who needs bee or insect allergy:

1. People who have experienced allergic reactions to bee or insect stings in the past.
2. Individuals who have been diagnosed with an insect venom allergy through allergy testing conducted by a healthcare professional.
3. Those who have a family history of bee or insect allergies, as it increases the risk of developing similar allergies.
4. People who live in areas with a high prevalence of stinging insects, such as beekeepers, gardeners, or outdoor workers.
5. Individuals with certain medical conditions, such as severe asthma or compromised immune systems, as they may be more susceptible to severe allergic reactions.
6. Bee or insect sting allergy can occur at any age, so individuals of all ages who meet the above criteria should consider taking precautions and seeking appropriate medical attention if needed.

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What is bee or insect allergy?

Bee or insect allergy is an allergic reaction to bee stings or insect bites.

Who is required to file bee or insect allergy?

Anyone who has a bee or insect allergy should file this information for their own safety and the safety of those around them.

How to fill out bee or insect allergy?

You can fill out bee or insect allergy by providing information about your allergy symptoms, triggers, and any medications you take.

What is the purpose of bee or insect allergy?

The purpose of bee or insect allergy is to alert others about your allergy so they can take proper precautions to prevent an allergic reaction.

What information must be reported on bee or insect allergy?

You must report details about your allergy symptoms, triggers, medications, and emergency contact information.