Get Allergies Anaphylaxis Medication Administration Form 2019-20

The Allergies Anaphylaxis Medication Administration Form 2019-20 is a crucial document that ensures students with allergies receive the necessary medical support at school. This guide provides step-by-step instructions on how to complete the form online, making it easy and accessible for all users.

Follow the steps to complete the form accurately and efficiently.

1. Use the ‘Get Form’ button to access the Allergies Anaphylaxis Medication Administration Form 2019-20 and open it in the online editor.
2. Begin by entering the student’s information. Fill out the fields for the last name, first name, middle name, date of birth, OSIS number, gender, weight, school details, DOE district, grade, and class.
3. Next, healthcare practitioners must specify the allergies by checking the appropriate boxes and providing detailed information about each allergy.
4. Indicate the student's history of asthma and anaphylaxis, including dates and affected systems, if applicable.
5. Assess whether the student can self-manage their condition by selecting appropriate options for recognizing signs of allergic reactions and avoiding allergens.
6. Complete the section related to medications required in school for severe and mild allergic reactions. This includes the dosage, administration method, and specific medications.
7. Obtain the required signatures from the healthcare practitioner, including their name, title, contact information, and license number.
8. Parents or guardians should read and sign the second page, confirming their understanding and consent regarding their child’s medication at school.
9. Once all necessary information is filled out, save the changes, and choose the option to download, print, or share the completed form with the relevant school authorities.

Complete your forms online today to ensure your child's needs are met at school.