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Upon request accommodation will be provided to allow individuals with disabilities to participate in all City of Bloomington services programs and activities. PARTICIPANT Effective Year FIRST NAME LAST NAME BIRTH DATE Male HOME PHONE CELL Female ALLERGY TO non-food Asthmatic No Yes SIGNS OF AN ALLERGIC REACTION Participants with asthma are at risk for more severe reaction. MOUTH itching swelling of the lips tongue or mouth THROAT itching and/or a sense of tightness in the throat hoarseness...
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Severe allergy form non-food is a document that individuals need to fill out to disclose any severe allergic reactions they may have to non-food items.
Individuals who have severe allergies to non-food items are required to file severe allergy form non-food.
To fill out severe allergy form non-food, individuals should provide detailed information about their severe allergic reactions to non-food items.
The purpose of severe allergy form non-food is to inform others, such as employers or schools, about an individual's severe allergies to non-food items.
Information such as the specific allergies to non-food items, the severity of the reactions, and any medications or treatments needed should be reported on severe allergy form non-food.
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