Epinephrine/Allergy Emergency Plan
If your child's physician has prescribed epinephrine (EpiPen/Auvi-Q or other auto-injector) for anaphylaxis, please complete the Anaphylaxis Emergency Care Plan** (Spanish) & Food Allergy (Spanish). Please make sure form has both parent and physician signatures.
If an antihistamine is ordered, please provide this medication with your epinephrine.
Please ask the pharmacy to put an additional label on the auto-injector container. This will allow auto-injector containers to be placed back in correct boxes in the event they become separated.
Special Diet
If your child has a food allergy or intolerance or a disability that restricts their diet, please supply the nurse with this SPECIAL MEALS REQUEST FORM (Parts A & B), completed in full and signed by a licensed physician.