Checklist for Healthcare Providers

  • Complete student health history
    • Complete allergy history form
  • Prescribe epinephrine for school and home
  • Complete Emergency Care Plan (ECP) / Food Allergy Action Plan (FAAP)
  • Complete medication authorization form completed for school use
  • Provide your contact information for school nurse or delegate
  • Permission for student carry their own epinephrine auto-injector if developmentally appropriate (see Self-Carry Authorization form)
  • Complete medical statement for special meals
    • If school meals/snacks are required, then provide a medical statement for special meals. (Be sure to include omitted and permitted foods.)
  • Provide epinephrine auto-injector instructions to family and student when age appropriate
  • Instruct how to read a food label
  • Complete 504 accommodation plan
  • Complete individualized education plan if needed
  • Provide families with paperwork that explains the student’s food allergy, such as:
    • Provide Food Allergy Emergency Care Plan / Food Allergy Action Plan (ECP / FAAP)
  • Parents/guardians may need your assistance to advocate for reasonable accommodations.

    Important to work effectively with schools and parents of school aged children to  recognize the value to the child when there is a comprehensive, coordinated team effort among the child’s medical home, the school, and family.

    Inform parent: If child has a reaction – to make an appointment with your office