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Allergy Emergency Action Plan Students Name: Student #: D.O.B: Grade/Teacher: ALLERGY TO: Asthmatic Yes* No Parent/Guardian: Mother: (Home) *Higher risk for severe reaction (Work) (Cell) Father: Other.

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IF ANY ONE (OR MORE) OF THESE SIGNS ABOVE ARE PRESENT: Lie child flat with legs raised (if breathing is difficult, allow child to sit) Immediately dial 999 for ambulance and say ANAPHYLAXIS (“ANA-FIL-AX-IS”) ... the SPARE AUTOINJECTOR if available. ... Stay with child until ambulance arrives, do NOT stand child up.

FARE's Food Allergy & Anaphylaxis Emergency Care Plan, formerly the Food Allergy Action Plan, outlines recommended treatment in case of an allergic reaction, is signed by a physician and includes emergency contact information.

This plan has information about your child's allergy, what symptoms to watch for, and what to do in an emergency. It will also include important contact information. If your child does not have an Anaphylaxis Action Plan, ask their doctor for one.

Do not squeeze to remove. Clean area with soap and water. Apply ice to the sting area. Observe for 10 minutes for an allergic reaction.

Q 6: How often does an ASCIA Action Plan need to be updated? ASCIA Action Plans should be reviewed when patients are reassessed by their doctor or nurse practitioner, and each time they obtain a new adrenaline injector prescription, which is approximately every 12 to 18 months.

The ASCIA Action Plan for Anaphylaxis is an emergency response plan for severe allergic reactions (anaphylaxis). Current ASCIA Action Plans are the General and 2021 versions, and the 2022 Anapen version. However, prior versions (2021, 2020 and 2018) are still valid for use in 2022 and 2023.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232