Severe Allergy

If your child has a severe allergy and has Epinephrine or Auvi-Q at school, please provide:

1.     Allergy/Anaphylaxis Plan signed by a physician and parent

Grand Rapids Allergy Anaphylaxis Form Example
FARE Anaphylaxis and Allergy Plan Form Example 

2.     Medication Authorization Form signed by a physician and parent

25/26 Medication Administration Authorization Form

3.     Emergency medication prescribed