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 physician and parent

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

2.     Medication Authorization Form signed by physician and parent

*Medication Authorization Form Link

3.   Provide emergency medication prescribed