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Abstract: . . .  hc_5_asthma_allergies_0506 5/6/05 Health Center Tel: (610) 399-7974 Fax: (610) 399-7810 5 2005-2006 Asthma & Allergies Please check ( ) the box that applies My childs asthma and/or allergy information . . .
. . .  _______________________________________________ d. _______________________________________________ STUDENT PERMISSION TO CARRY EMERGENCY ASTHMA &/ OR ALLERGY MEDICATION This student has received the proper instruction and should be . . .
. . .  MERGENCY ALLERGY T REATMENT List EMERGENCY medication(s) for allergies (including dose, route, & frequency). a. Benadryl _______________________________________ b. EpiPen . . .
--777,3,130,1049,3887
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