Severe Food Allergy/ Anaphylaxsis at School - EPI-PEN at school

  •  "Severe food allergy" means a dangerous or life-threatening reaction of the human body to a food-borne allergen introduced by inhalation, ingestion, or skin contact that requires immediate medical attention.

    If your child's allergy is severe and requires an EPI-PEN for school use, you will need to complete a Food Allergy Action Plan.  This form will need to be completed by your child's physician and then signed/dated by a parent and returned to the school nurse. Please don't forget to complete the back side of the form with alternate emergency contacts/phone numbers.  Please attach a picture of your child to this form to help identify your student in an emergency situation.

Related Files