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Allergy Information Sheet Child's foothills Name: Birth Date: Teacher: Classroom: Does he/she have an EPI pen? YES NO If yes, see office for additional paperwork. Please list all allergies (Food,
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Allergy status identification is a process to identify an individual's allergies.
Healthcare providers and patients are required to file allergy status identification.
Allergy status identification can be filled out by providing information about the individual's allergies.
The purpose of allergy status identification is to ensure that healthcare providers are aware of any allergies that may impact treatment.
Information such as the type of allergies, severity, and any medications or treatments being used must be reported on allergy status identification.
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