Food Allergy Checklist
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Parent/guardian must notify the school nurse of student’s specific food allergy.
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Parent/guardian should complete Food Allergy Information and Consent Form.
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A Food Allergy & Anaphylaxis Emergency Care Plan must be completed by the parent/guardian and physician.
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If medication is prescribed a Medication: Parent/Guardian Request Form must be completed by parent/guardian.
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A Self-Administration of Prescription Asthma or Anaphylaxis Medication by Students form must be completed by the physician & parents if needed.
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For food allergies and/or if food substitutes are needed, the Special Diet and Allergy Accommodation Form must be completed by the physician and parent/guardian and returned to the cafeteria manager and a copy must be given to the school nurse.
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Special accommodations may be provided upon recommendation of a core team consisting of parent/guardian, teacher, school nurse and school administrator after receiving documentation from a physician regarding the allergy.