WHAT’S UP WITH ALLERGIES – TWELVE CRITICAL VIEWS From YOU
Allergy Information Provider: _____ Student ______ Parent _____ Other Provider (Specify) What is the allergy(ies)? ________________________________________________ At what age did allergy diagnosis occur? ________ (Age in years) Current Age ______ (Age in Years) Is an EpiPen required for the allergy(ies)? ____Yes ____No If yes, specify EpiPen allergy(ies) ____________________________________________________ Does anyone else in the family have [...]