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NEUROLOGY ORDER SET P: 877.365.5566 | F: 855.889.2946 PATIENT INFORMATION:Fax completed form, insurance information, and clinical documentation to 855.889.2946Patient Name: ___ DOB: ___ Phone: ___
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How to fill out required allergies

01
Obtain a list of common allergens that may be included in food or medication.
02
Communicate your allergies to healthcare providers, restaurants, and anyone preparing food for you.
03
Read ingredient labels carefully and avoid products known to contain allergens.
04
Consider wearing a medical alert bracelet or carrying an allergy card to inform others of your allergies.

Who needs required allergies?

01
Anyone who has allergies or has been diagnosed with allergic reactions needs to fill out required allergies.
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Required allergies are specific allergens or medical conditions that individuals have and need to be reported for safety reasons.
Any individual who has allergies or medical conditions that could impact their health and safety in certain situations is required to file required allergies.
To fill out required allergies, individuals can typically use a form provided by their school, workplace, or medical provider. They will need to list all known allergies or medical conditions and any necessary emergency procedures.
The purpose of required allergies is to ensure that individuals with known allergies or medical conditions receive appropriate accommodations and treatment in case of an emergency.
The information that must be reported on required allergies includes specific allergens, medical conditions, emergency contact information, and any necessary medications or treatments.
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