Emergency Action Plan Forms

Illinois Public Act 099-0843 requires schools to request an Asthma Action Plan from those students who have asthma. This should be submitted at registration, as soon as practically possible after diagnosis, or when a student's asthma care needs change.  An asthma action plan identifies the student's asthma triggers, their symptoms of asthma exacerbation, what medications should be taken and when to take them, and when their asthma exacerbation requires emergency treatment.  To learn more about asthma management at school, please visit the ISBE's School Wellness Website and the CDC's  Asthma Resources for Health Professionals and Schools Website.  

Illinois Public Act 101-0050 requires schools to request a Seizure Action Plan for those students who have epilepsy or another seizure disorder.  This should be submitted at registration, as soon as practically possible after diagnosis, or when a student's seizure disorder needs change.  A seizure action plan identifies the specific type(s) of seizures the student experiences and provides guidelines for responding to them, including basic seizure first aid, what medications should be taken and when to take them, and when their seizure requires emergency treatment.  To learn more about seizure management at school, please visit the ISBE's School Wellness Website and the Epilsepsy Foundation's Seizure Safe Schools Website

Illinois Public Act 96-1485 requires schools to request a Diabetes Medical Management Plan from those students who have diabetes.  This should be submitted at registration, as soon as practically possible after diagnosis, or when a student's diabetic care needs change.  A diabetes medical management plan includes the medical orders required for managing and treating the student's diabetes, and addresses the student's specific target blood sugar range, symptoms of hypoglycemia and hyperglycemia, how much insulin or other diabetic medication should be taken and when to take it, carbohydrate counting at meals and snacks, and management during physical activity and sports.  To learn more about diabetes management at school, please visit the ISBE's School Wellness Website and the ADA's Safe at School Website. 

Illinois Public Act 97-0361 requires schools to request a Food Allergy & Anaphylaxis Emergency Action Plan from those students who have life-threatening allergies.  This should be submitted at registration, as soon as practically possible after diagnosis, or when a student's allergy and anaphylaxis care needs change.  A food allergy and anaphylaxis emergency action plan identifies the student's allergens, their symptoms of an allergic and anaphylactic reaction, what medications should be taken and when to take them, and when an allergic reaction requires emergency treatment. To learn more about managing allergies and anaphylaxis at school, please visit ISBE's School Wellness Website and the FARE's Back to School Headquarters.