Forms for schools and caregivers: Anaphylaxis Action Plan
An Anaphylaxis Action Plan lists a person’s allergies, the signs and symptoms to watch for, and the emergency procedure to follow in case of a reaction. It’s important to share this form with your child’s school and caregivers, and to review it with your child, depending on their age.
Quick Facts
- The Anaphylaxis Action Plan is a fillable form. You can download, fill in, and save your information OR print a copy and add your information by hand.
- If you are using it as a fillable form, remember to download and save the file first before entering information. Do not complete the form within your browser as information will not be saved.
- You can use Adobe Acrobat to add an image (.jpeg, .png, etc.) or Adobe Acrobat Reader to add an image (.pdf only) to the “Photo” box of the Anaphylaxis Action Plan. To do so, please follow the instructions related to the Adobe software version you are using. Alternatively, you can print the completed form and attach a photo to this box.