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S Emergency Allergy Action Plan Students NameStudents DOB: School: Teacher/Homeroom: Allergy to: (Do separate order if both insect and food allergy) Photo of studentAsthma: Yes×No×Higher risk for
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How to fill out s emergency allergy action

01
To fill out an emergency allergy action plan, follow these steps:
02
Start by gathering all the necessary information about the person who has the allergy, including their name, date of birth, and emergency contact details.
03
Identify the specific allergen(s) that the person is allergic to and the symptoms they may experience in case of exposure.
04
Consult with a healthcare professional to determine the appropriate emergency treatment for the allergic reaction. This may include the use of epinephrine auto-injectors or other medications.
05
Create a written plan that outlines the steps to be taken in case of an allergic reaction. Include clear instructions on how to administer any necessary medications and when to seek emergency medical assistance.
06
Make sure to include any additional information that may be relevant to the person's allergies, such as triggers to avoid or specific instructions for caretakers or school staff.
07
Review and update the emergency allergy action plan regularly as needed, especially if there are any changes in the person's allergies or treatment.
08
Keep a copy of the emergency allergy action plan readily accessible, such as in a wallet, purse, or school/nursery records.
09
Remember to always consult with a healthcare professional for personalized advice and guidance in managing and filling out an emergency allergy action plan.

Who needs s emergency allergy action?

01
Anyone who has a known allergy that can potentially lead to a severe allergic reaction needs an emergency allergy action plan.
02
This includes individuals with allergies to foods (e.g., peanuts, tree nuts, shellfish), medications (e.g., penicillin, aspirin), insect bites or stings (e.g., bee stings), latex, or other allergens.
03
People who have experienced anaphylaxis in the past, have a history of severe allergic reactions, or have been prescribed epinephrine auto-injectors by a healthcare professional are particularly in need of an emergency allergy action plan.
04
It is also important for parents, school staff, caregivers, and other individuals who may be responsible for someone with allergies to be familiar with and trained in following the emergency allergy action plan.
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Emergency allergy action is a plan that outlines the necessary steps to take in case of a severe allergic reaction.
Individuals who have severe allergies or parents/guardians of children with severe allergies are required to file an emergency allergy action.
To fill out an emergency allergy action, individuals must include information about their allergies, triggers, symptoms, and emergency contact information.
The purpose of an emergency allergy action is to ensure that appropriate steps are taken in case of a severe allergic reaction to prevent serious consequences.
Information such as allergies, triggers, symptoms, emergency contact information, and any medications or treatments that need to be administered in case of an allergic reaction must be reported on an emergency allergy action form.
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