Allergi och hälsa handlingsplan för barn och elev

Ulricehamns kommun, Skolområde Nord Tel 0321-595523/24, 0321-595870 Internet www.ulricehamn.se

Reviderad 090917

Skolområde Nord

ALLERGI / HÄLSA – Handlingsplan

Barnets namn:_______________________________________________________________

Personnummer (10 siffor):_____________________________________________________

Förskolans namn:____________________________________________________________

ALLERGI/ÖVERKÄNSLIGHET/HÄLSA (Diagnos):

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Ska undvika / avstå ifrån helt:

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Yttrar sig / Symptom:

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Vilka åtgärder ska personalen vidta vid reaktion/besvär:

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Mediciner som behöver finnas i förskolan:

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Telefonnummer till föräldrar: Se blanketten ”Allmänna upplysningar om elev/barn till krispärm”.

Vårdnadshavares underskrift:_____________________________Datum:________________