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AZ Great Hearts Academy - Allergy Action Plan 2019 free printable template

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GREAT HEARTS ACADEMY ALLERGY ACTION PLAN for the 2019/2020 SCHOOL YEAR CHILD LAST NAME: FIRST NAME: PARENT/GUARDIAN: B E S T CONTACT PHONE NUMBER: P H Y S I C I A N NAME: P H Y S I C I A N PHONE NUMBER:
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How to fill out AZ Great Hearts Academy - Allergy Action

01
Obtain the AZ Great Hearts Academy - Allergy Action form from the school's website or administration office.
02
Fill in the student's personal information at the top of the form, including name, grade, and date of birth.
03
Provide details about the specific allergies, including the type of allergen and the severity of the reaction.
04
Include information on recommended emergency treatments and any medications required in case of an allergic reaction.
05
List emergency contacts and their phone numbers.
06
Sign and date the form to verify that the information is accurate and complete.
07
Submit the completed form to the school nurse or appropriate school official.

Who needs AZ Great Hearts Academy - Allergy Action?

01
Students who have known allergies that require monitoring and action at school.
02
Parents/guardians of students who need to communicate allergy-related information to school staff.
03
School personnel who need structured guidance to manage allergic reactions in students.
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AZ Great Hearts Academy - Allergy Action is a document that outlines procedures and protocols for managing allergies among students at the AZ Great Hearts Academy. It provides guidelines for both staff and parents to ensure the safety and well-being of students with food allergies.
Parents or guardians of students who have known allergies are required to file the AZ Great Hearts Academy - Allergy Action form to ensure that the school is aware of the student's allergy and can take necessary precautions.
To fill out the AZ Great Hearts Academy - Allergy Action form, parents should provide detailed information about the student's specific allergies, including the type of allergy, symptoms, and emergency procedures in case of an allergic reaction.
The purpose of the AZ Great Hearts Academy - Allergy Action form is to communicate important allergy information to school staff, to create a safe learning environment, and to outline steps for managing allergic reactions effectively.
The information that must be reported on the AZ Great Hearts Academy - Allergy Action includes the student's name, specific allergies, signs and symptoms of an allergic reaction, emergency contact information, and any required medications or individual health plans.
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