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APPENDIX C STUDENT ALLERGY FORM 2013 2014 ADMINISTRATION OF MEDICATION ASSISTANCE TO STUDENTS This form is to be completed for students identified as having severe allergies that are potentially fatal
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How to fill out student allergy medical form

How to fill out a student allergy medical form:
01
Start by obtaining a student allergy medical form from your child's school or educational institution. This form is typically provided at the beginning of each school year or upon enrollment.
02
Ensure that all sections of the form are completed accurately and thoroughly. This typically includes providing basic information about the student such as their name, date of birth, and contact details.
03
Next, list any known allergies that the student may have. Include both food and non-food allergies, as well as any medications or substances that the student may be allergic to.
04
Indicate the severity of each allergy, if known. It is important to specify if an allergy is life-threatening or necessitates immediate medical attention.
05
Provide information regarding any prescribed medications that the student may need to take in case of an allergic reaction. Include the name of the medication, dosage, and any specific instructions or emergency procedures that need to be followed.
06
If the student requires any special accommodations due to their allergies, such as dietary restrictions or the need for an epinephrine auto-injector (EpiPen), make sure to indicate this on the form.
07
Lastly, sign and date the completed form before returning it to the appropriate school personnel. Keep a copy for your own records if necessary.
Who needs a student allergy medical form?
01
Students with known allergies, whether they are food or non-food related.
02
Parents or guardians of students who want to ensure that proper medical information is readily available to school staff in case of an allergic reaction.
03
Schools or educational institutions that prioritize the health and safety of their students and need accurate records of allergies and necessary precautions.
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What is student allergy medical form?
The student allergy medical form is a document that collects information about a student's allergies and medical history in case of emergency.
Who is required to file student allergy medical form?
All students with allergies or medical conditions that may require intervention at school are required to file a student allergy medical form.
How to fill out student allergy medical form?
The form typically asks for the student's personal information, known allergies, medications, emergency contacts, and any specific instructions for managing their allergies.
What is the purpose of student allergy medical form?
The purpose of the student allergy medical form is to ensure that schools are aware of and prepared to address any allergic reactions or medical emergencies that may arise while the student is on campus.
What information must be reported on student allergy medical form?
The form usually requires information such as the student's name, age, allergies (including triggers and symptoms), current medications, emergency contact information, and any specific instructions for managing their allergies.
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