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Emergency Allergy Alert Photo ID Form This form must be completed upon registration and whenever there is a change in the medication. This form and picture must be updated annually. Name: Location/Program:
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How to fill out epi - pen participant

How to Fill Out Epi-Pen Participant:
01
Remove the outer protective case from the Epi-Pen.
02
Take off the blue safety release cap by pulling it straight up.
03
Hold the Epi-Pen firmly with your dominant hand, making sure your thumb is on the blue injection button.
04
Form a fist with your other hand and place your thumb against the middle of the outer side of the participant's thigh.
05
Quickly and firmly push the Epi-Pen straight into the participant's thigh until it clicks, and hold it in place for a few seconds.
06
Remove the Epi-Pen and massage the injection site for 10 seconds to help the medication absorb.
07
Replace the blue safety release cap over the used needle tip and gently push the Epi-Pen back into the outer case until it locks into place.
Who Needs Epi-Pen Participant:
01
Individuals with severe allergic reactions or anaphylaxis may require an Epi-Pen participant.
02
This includes individuals with known allergies to food, medications, insect stings, or latex.
03
People with a history of anaphylaxis or those deemed at high risk for severe allergic reactions should have an Epi-Pen participant available.
04
Epi-Pens are commonly used by individuals with conditions like food allergies, severe asthma, mast cell disorders, or those prone to anaphylaxis due to exercise.
Note: It is important to consult with a healthcare professional for proper instruction on using an Epi-Pen and for determining if an individual requires an Epi-Pen participant.
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What is epi - pen participant?
Epi-pen participant is someone who is required to carry an EpiPen due to severe allergies.
Who is required to file epi - pen participant?
The individual who is considered an epi-pen participant is required to file the necessary paperwork.
How to fill out epi - pen participant?
The epi-pen participant needs to provide their personal information, medical history, and details about their allergies.
What is the purpose of epi - pen participant?
The purpose of epi-pen participant is to ensure that individuals with severe allergies have access to life-saving medication in case of an allergic reaction.
What information must be reported on epi - pen participant?
The information reported on epi-pen participant includes name, contact details, emergency contacts, medical history, and details about allergies.
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