Get the free Severe Allergy Alert Form - SharpSchool
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Must be completed by a
Licensed Health ProfessionalSchool City of Hammond
Health ServicesAllergy and Anaphylaxis Emergency Plan Page 1 of 2
Effective Date___Students Name:___Date of birth:___/___/___Weight:___
Parent/Guardian
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How to fill out severe allergy alert form
How to fill out severe allergy alert form
01
Fill out your personal information such as name, date of birth, and contact information.
02
Specify the type of allergy you have and the severity level.
03
List any medications you are currently taking for your allergy.
04
Provide emergency contact information in case of a severe allergic reaction.
Who needs severe allergy alert form?
01
Individuals who have severe allergies to food, insects, medication, or other substances need a severe allergy alert form.
02
People who have experienced severe allergic reactions in the past should also have this form filled out.
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What is severe allergy alert form?
The severe allergy alert form is a document used to report severe allergies to certain substances or foods.
Who is required to file severe allergy alert form?
Anyone who has been diagnosed with severe allergies and wants to inform others about their condition.
How to fill out severe allergy alert form?
The form typically requires the individual to list the specific allergies they have, any medications they take for it, and emergency contact information.
What is the purpose of severe allergy alert form?
The purpose of the form is to alert others, such as healthcare providers, teachers, or emergency responders, about the individual's severe allergies in case of an emergency.
What information must be reported on severe allergy alert form?
Information such as specific allergies, medications taken, emergency contacts, and any relevant medical history should be included on the form.
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