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ILLINOIS FOOD ALLERGY EMERGENCY ACTION PLAN AND TREATMENT AUTHORIZATION NAME:D.O.B:/Childs Photograph/RequiredTEACHER: ALLERGY TO: Asthma: Yes (higher risk for a severe reaction)NoWeight: ___ lbsINJECT
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How to fill out illinois food allergy emergency
How to fill out illinois food allergy emergency
01
Obtain the Illinois Food Allergy Emergency Action Plan form from a healthcare provider or school nurse.
02
Fill out the student's name, date of birth, healthcare provider information, and emergency contact information.
03
Indicate the student's food allergies and specific symptoms that may occur during an allergic reaction.
04
Identify any medications that the student may need during an allergic reaction and instructions on how to administer them.
05
Sign and date the form, and make copies for the school nurse, teachers, and other relevant staff members.
06
Review the completed form with the student's healthcare provider to ensure accuracy and discuss any specific instructions or concerns.
Who needs illinois food allergy emergency?
01
Students with food allergies who may experience an allergic reaction while at school or other educational institutions.
02
Parents or guardians of students with food allergies who want to ensure that proper emergency procedures are in place in case of an allergic reaction.
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What is illinois food allergy emergency?
Illinois food allergy emergency is a report that must be filed by schools to inform about students with food allergies.
Who is required to file illinois food allergy emergency?
Schools in Illinois are required to file the food allergy emergency report.
How to fill out illinois food allergy emergency?
Illinois food allergy emergency can be filled out online through the state's designated portal.
What is the purpose of illinois food allergy emergency?
The purpose of the food allergy emergency report is to ensure the safety of students with food allergies while at school.
What information must be reported on illinois food allergy emergency?
The report must include the student's name, grade, known food allergies, emergency contacts, and any necessary medical information.
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