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FREDERICK COUNTY PUBLIC SCHOOLS 2005ALLERGY ACTION PLANStudents Name D.O.B. Grade ALLERGY TO: Asthmatic: Yes * No *High risk for severe reaction Does student have EPI Pen at school? Yes No Place Child's
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How to fill out fcps allergy action plan

01
To fill out the FCPS Allergy Action Plan, follow these steps:
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Start by opening the document, either in a physical format or on a digital device.
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Begin by entering the student's name and basic contact information at the top of the form.
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Next, indicate whether the student has any known allergies or anaphylaxis triggers.
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Provide details about the specific allergies or triggers in the designated section.
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If the student has been prescribed any medication, list them, including the dosage and administration instructions.
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It is important to include emergency contact information, including phone numbers and alternative contacts.
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Confirm if the student has been previously treated for anaphylaxis and specify any prior reactions.
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If the student requires specific action steps in case of an allergic reaction, outline them in detail.
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Additional considerations, such as the need for an epinephrine auto-injector, should be mentioned.
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Review the completed form for accuracy and ensure that all necessary information has been provided.
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Finally, sign and date the document to validate it.
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Remember to keep a copy of the filled-out FCPS Allergy Action Plan for your records.

Who needs fcps allergy action plan?

01
Anyone with allergies or anaphylaxis triggers should have an FCPS Allergy Action Plan.
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This includes students in Fairfax County Public Schools (FCPS) who have known allergies.
03
Parents or guardians of students with allergies should work with their healthcare provider
04
to complete the FCPS Allergy Action Plan and provide it to the school.
05
This plan helps ensure that appropriate measures are taken to manage and respond to allergic reactions
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FCPS Allergy Action Plan is a document outlining a student's allergies, triggers, symptoms, and emergency response procedures.
Any student with allergies attending FCPS is required to have an Allergy Action Plan on file.
Parents or guardians can work with the school nurse to fill out the FCPS Allergy Action Plan, providing all necessary information about the student's allergies and emergency response.
The purpose of the FCPS Allergy Action Plan is to ensure that school staff are aware of a student's allergies and are prepared to respond in case of an allergic reaction.
The FCPS Allergy Action Plan must include the student's allergies, triggers, symptoms of an allergic reaction, emergency contact information, and steps to take in an emergency.
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