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School Health
Allergy Action Plan
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If your child has a severe allergy, please fill out these forms and provide to the campus nurse. Include any medical documentation from your physician. If your child will have an Epinephrine pen at the school, the forms must be filled out and returned to the campus.
Forms:
Allergy History Form (can be filled out online, saved as pdf, and printed and dropped off)Medication Administration Form (see medication administration page)Anaphylaxis Emergency Care Plan from FAREAnaphylaxis Emergency Action Plan from American Academy of Allergy Asthma and ImmunologyResources: