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Asheboro City Schools Emergency Action Plan 8/11 Food and Insect Allergy Action Plan Students Name: DOB: School: Teacher: Grade: ALLERGY TO: Asthmatic: YES / NO High risk for severe reaction? Yes
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How to fill out food and insect allergy:

01
Start by gathering all the necessary information. This includes personal details such as name, age, and contact information. Additionally, have a clear understanding of the specific food or insect that triggers the allergy.
02
Specify the symptoms experienced during an allergic reaction. These may include hives, itching, swelling, difficulty breathing, or anaphylaxis. The severity and frequency of these symptoms should be noted accurately.
03
Provide a detailed medical history. This should include any previous allergies or allergic reactions, as well as any existing medical conditions. It is important to disclose all relevant information to ensure proper diagnosis and treatment.
04
Describe any previous medical interventions or treatments for the allergy. This can include medications, allergy shots, or emergency protocols. It is crucial to mention the success or failure of these interventions to help healthcare providers determine the most suitable course of action.
05
Include any lifestyle restrictions or precautions that need to be taken. For example, individuals with severe food allergies may need to avoid certain ingredients or carry an epinephrine auto-injector at all times. In the case of insect allergies, precautions can involve wearing protective clothing or avoiding specific outdoor areas.

Who needs food and insect allergy?

01
Individuals who have experienced allergic reactions to specific foods or insect bites in the past should be aware of their allergies. It is crucial for them to fill out the allergy forms accurately to provide healthcare providers with essential information.
02
People with a family history of food or insect allergies should also be cautious and consider filling out allergy forms. Allergies can often have a genetic component, so understanding one's family history can help determine the likelihood of developing an allergy.
03
Individuals who plan to travel or engage in outdoor activities should be aware of any potential allergies to insects. This is especially important if they are going to areas where certain insects are prevalent or if they have had previous allergic reactions to bites or stings.
In conclusion, properly filling out food and insect allergy forms is crucial for accurate diagnosis and appropriate treatment. It is important for individuals who have experienced allergies or have a family history of allergies to be thorough and honest in their responses, ensuring that healthcare providers have all the necessary information to provide optimal care.
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Food and insect allergy is a medical condition where the immune system reacts abnormally to certain foods or insect venom, causing symptoms ranging from mild to severe.
Individuals who have food and insect allergies are required to file information about their allergies.
Food and insect allergy information can be filled out by providing details about specific food allergies and insect reactions.
The purpose of food and insect allergy reporting is to ensure that proper precautions are taken to avoid allergic reactions.
Information such as specific food allergies, insect reactions, severity of allergies, and any medications used for treatment must be reported.
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