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JEWELL SCHOOL DISTRICT NO. 8 83874 HWY 103 SEASIDE, OR. PHONE (503×7552251 ALLERGY ASSESSMENT FORM Date: School: Dear Parent×Guardian: We are reviewing health records for students with severe allergies.

How to fill out allergy assessment form

How to fill out allergy assessment form:

1. Start by carefully reading the instructions at the beginning of the form. This will provide important information about how to accurately complete the assessment.
2. Provide personal information such as your full name, date of birth, and contact information. This will allow the healthcare professional to properly identify and communicate with you.
3. Indicate any known allergies or sensitivities you have. Specify the type of allergen (e.g., pollen, food, medication) and the severity of your reaction. Be as specific as possible to help the healthcare professional understand your situation accurately.
4. Include a detailed medical history. This should involve mentioning any previous allergic reactions, medical conditions that may be relevant to allergies, and any medications you are currently taking.
5. If applicable, mention any current treatments or medications you are receiving for your allergies. This will help the healthcare professional understand your current management plan and make appropriate recommendations.
6. Answer any additional questions or sections included in the form. These may cover topics such as lifestyle factors, environmental exposures, or specific symptoms you are experiencing.

Who needs an allergy assessment form:

1. Individuals experiencing symptoms that may be related to allergies should consider filling out an allergy assessment form. These symptoms may include respiratory difficulties, skin irritations, digestive issues, or other allergic reactions.
2. People with a family history of allergies or sensitivities may benefit from completing an allergy assessment form. This can help identify potential genetic predispositions and guide preventive measures.
3. Individuals who suspect they may have developed new allergies or sensitivities should also use an allergy assessment form. This can aid in determining the specific allergens or triggers that may be causing their symptoms.

Overall, the allergy assessment form is beneficial for anyone seeking an accurate diagnosis, proper treatment, and management plan for their allergies. It helps healthcare professionals gather essential information to understand the individual's allergic profile and provide appropriate recommendations.

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