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Known Allergies: ___ ___ ___ ___ ___Student Photo HereStudent Allergy Action Plan 20232024 (To be completed and signed by physician)Student Name: ___ Grade: ___ Date of Birth: ___ STEP 1: TREATMENT Asthmatic:
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How to fill out known allergies

01
Obtain a list of known allergies from the individual or their medical records.
02
Have the individual fill out an allergy form with their known allergies, including any medications, foods, or environmental allergies.
03
Ensure the form is complete and accurate by double-checking with the individual or their medical provider.
04
Keep the filled out known allergy form in a secure and easily accessible location for reference.

Who needs known allergies?

01
Healthcare providers, such as doctors, nurses, and pharmacists, who need to be aware of a patient's known allergies to prevent adverse reactions.
02
Emergency responders, such as paramedics and EMTs, who may need to provide medical treatment to someone with known allergies.
03
Individuals themselves benefit from having a clear record of their known allergies to share with healthcare providers in case of an emergency.
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Known allergies are specific substances that a person's body has an abnormal reaction to.
Individuals with known allergies are required to report them.
Known allergies can be filled out by listing the specific substances that the individual has allergic reactions to.
The purpose of known allergies is to inform others, such as healthcare providers, about potential allergic reactions.
The information that must be reported on known allergies includes the specific substances that the individual is allergic to and any potential reactions.
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