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HS0025 Rev. 4/05 ANAPHYLAXIS/SEVERE ALLERGY ACTION PLAN Health Services Department Lincoln Public Schools Student Name: ID#: Grade: ALLERGEN: Dear Parent/Guardian, In a review of student health records,
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Personal information: Begin by filling out your personal information. This typically includes your full name, date of birth, contact details, and any other relevant personal information requested on the form.
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hs0025-anaphylaxissvr allergy - lpsorg is a form used to report cases of severe allergic reactions.
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Information such as patient demographics, symptoms experienced, treatment provided, and outcome of the allergic reaction must be reported on hs0025-anaphylaxissvr allergy - lpsorg.
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