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CELIAC DISEASE / GLUTEN INTOLERANCE ACTION PLAN (Parent please complete both pages)Celiac Disease is a genetic autoimmune disease that causes damage to the small intestine, interfering with absorption
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How to fill out celiac disease action plan

01
To fill out a celiac disease action plan, follow these steps:
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Start by gathering all relevant medical information about the individual with celiac disease.
03
Download or obtain a celiac disease action plan template.
04
Fill out the personal details section of the form, including the individual's name, date of birth, and contact information.
05
Provide emergency contact details of a trusted individual who can be reached in case of an emergency.
06
Specify any known allergies or intolerances related to celiac disease.
07
Indicate the symptoms that the individual typically experiences during a celiac disease reaction.
08
Include a list of medications and treatments that are prescribed for celiac disease management.
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Add any additional notes or instructions that healthcare professionals should be aware of.
10
Review the completed form for accuracy and completeness.
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Keep a copy of the filled out celiac disease action plan in a easily accessible location, such as the individual's medical records or bag.
12
Regularly update the action plan as needed to reflect any changes in the individual's condition or treatment.

Who needs celiac disease action plan?

01
Anyone diagnosed with celiac disease can benefit from having a celiac disease action plan.
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Celiac disease is a chronic autoimmune condition that affects the digestive system, and having a clearly written action plan can help individuals manage their condition more effectively.
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Parents or caregivers of children with celiac disease should also have an action plan in place to ensure that other caregivers, such as teachers or daycare providers, are aware of the child's condition and know how to respond in case of an emergency.
04
Additionally, healthcare professionals involved in the care of individuals with celiac disease can use the action plan as a reference to provide appropriate treatment and support.
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The celiac disease action plan is a structured approach to manage and mitigate the risk of gluten exposure for individuals with celiac disease, outlining necessary dietary restrictions and health monitoring.
Individuals diagnosed with celiac disease and their caregivers are typically required to file a celiac disease action plan with relevant authorities or institutions.
To fill out a celiac disease action plan, gather medical documentation of the diagnosis, detail dietary restrictions, include emergency protocols for accidental exposure, and provide necessary contact information for healthcare providers.
The purpose of the celiac disease action plan is to ensure safety for individuals with celiac disease by outlining specific dietary needs and emergency response strategies to avoid gluten exposure.
The information that must be reported includes the individual's medical status, specific dietary restrictions, emergency contacts, and any necessary procedures for food preparation and handling.
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