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STUDENT ASTHMA MANAGEMENT PLAN (To be completed by parent / guardian) Student: Date of Birth: Teacher: Grade: Emergency Contact (List in priority of contact) NameRelationshipDaytime PhoneAlternate
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How to fill out food allergy emergency action

01
To fill out a food allergy emergency action plan, follow these steps:
02
Start by downloading a food allergy emergency action plan template, either from your doctor's office, school, or a reputable online source.
03
Fill in your personal information, including your name, date of birth, and emergency contact information.
04
List all the common food allergens that you are allergic to. This can include items like peanuts, tree nuts, milk, eggs, wheat, soy, fish, and shellfish.
05
Indicate the severity of your allergy for each specific allergen. This can range from mild reactions to life-threatening anaphylaxis.
06
Provide detailed instructions on how to recognize the symptoms of an allergic reaction and what to do in case of an emergency.
07
Include a section for any specific medications or treatments that should be administered in case of an allergic reaction.
08
Add any additional notes or instructions that you think are important for healthcare providers, school staff, or others to know.
09
Make multiple copies of the completed form and distribute them to relevant parties, such as your doctor, school nurse, daycare provider, and family members.
10
Review and update your food allergy emergency action plan regularly, especially if there are any changes to your allergies or treatment options.
11
Remember, it's important to tailor your food allergy emergency action plan to your specific needs and consult with a healthcare professional for guidance.

Who needs food allergy emergency action?

01
Anyone who has been diagnosed with a food allergy needs a food allergy emergency action plan.
02
This includes children, adolescents, and adults who have known food allergies and are at risk of experiencing allergic reactions.
03
A food allergy emergency action plan provides important information to healthcare providers, school staff, and other caregivers about how to recognize and manage an allergic reaction.
04
It is especially crucial for individuals with severe allergies or a history of anaphylaxis, as prompt and appropriate treatment can be life-saving.
05
Even those with mild allergies should have a food allergy emergency action plan in place to ensure their safety and provide clear instructions for managing potential allergic reactions.

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