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Get the free Food Allergy Action Plan - dcisd.org

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DENVER CITY ISD Kelley/Dodson Student Health Services, Telephone: (806) 5926072 FAX: (806) 5925929GRAVITT/HS Student Health Services (806) 5925956 (806) 5925949For CN Office purposes only: Date received:
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How to fill out food allergy action plan

01
To fill out a food allergy action plan, follow these steps:
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- Obtain a copy of the food allergy action plan form from a healthcare provider or school nurse.
03
- Write the name and contact information of the person with the food allergy at the top of the form.
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- Fill out the medical history section, providing details about the food allergy, any known triggers, and previous reactions.
05
- List any prescribed medications or emergency treatments for the food allergy and their dosages.
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- Include the contact information for the person's healthcare provider.
07
- Specify any accommodations or special instructions for managing the food allergy, such as avoiding certain foods or environments.
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- Sign and date the form, ensuring all necessary parties also sign, such as the healthcare provider and parent or guardian.
09
- Make copies of the completed form and distribute them to relevant individuals, such as school staff, caregivers, or coaches.
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- Keep a copy of the food allergy action plan easily accessible in case of emergencies.

Who needs food allergy action plan?

01
Anyone with a food allergy needs a food allergy action plan.
02
This includes both children and adults who have been diagnosed with a food allergy.
03
Food allergy action plans are especially important for individuals who are at risk of severe allergic reactions, known as anaphylaxis.
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This may include individuals with a history of severe allergic reactions, multiple food allergies, or other underlying medical conditions.
05
Schools, childcare facilities, and other institutions often require students or participants with food allergies to have a documented food allergy action plan.
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However, it is recommended for anyone with a food allergy to have a food allergy action plan in place to ensure their safety and appropriate management of allergic reactions.
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A food allergy action plan is a written document that outlines steps to be taken in case of an allergic reaction to food.
Schools and childcare facilities are typically required to have a food allergy action plan on file.
A food allergy action plan can be filled out by including information about the individual's allergies, symptoms, emergency contact information, and instructions for treatment.
The purpose of a food allergy action plan is to ensure the safety of individuals with food allergies by providing guidance on how to respond to allergic reactions.
Information that must be reported on a food allergy action plan includes the individual's name, allergies, symptoms of allergic reactions, emergency contact information, and steps for treatment.
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