Food Allergy Forms

Food Allergy Management Plan for Life-Threatening Food Allergies

In accordance with SB 27, effective August 1, 2012, the District has adopted policy and procedure that allows for the development of a student Food Allergy Management Plan that includes the following components:

  • Identification of students with food allergies who are at risk for anaphylaxis.

  • Development, implementation, communication, and monitoring of food allergy action plans/emergency care plans, individualized health-care plans, and Section 504 plans, as appropriate.

  •  Reduction of the risk of exposure within the school setting to common food allergens.

  • Training for school staff regarding awareness of signs and symptoms of food allergies and emergency response in the event of an anaphylactic reaction.

  • Review of care plans and procedures periodically and after an anaphylactic reaction at school or at a school related activity.

Should your child have a food allergy that causes them to be at risk for anaphylaxis, contact your student’s school nurse. The Food Allergy Action Plan/ Emergency Care Plan form is available through your school nurse and on the District website under Health Services. This form must be completed by a licensed physician in the US before implementing the Food Allergy Management Plan.

Food Allergy Management Forms:

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