Printable Food Allergy Form Template

As parents, we all want the best for our children, and that includes making sure they’re safe and healthy, especially when they’re away from home. If your child has a food allergy, sending them to daycare can be a little nerve-wracking. But with the right precautions in place, you can rest assured that your child will be in good hands. One of the most important things you can do to keep your child safe is to fill out a food allergy form for daycare. This form will provide your child’s daycare providers with important information about your child’s food allergies, including what foods they’re allergic to and how severe their reactions can be. This information will help the daycare providers to avoid exposing your child to any foods that could cause a reaction. When you’re filling out the food allergy form, be as thorough as possible. Make sure to include all the foods your child is allergic to, even if they’re not common allergens. If your child has had a severe reaction to a particular food in the past, make sure to note that as well. The more information you provide, the better prepared the daycare providers will be to keep your child safe. To give you an idea of what a food allergy form for daycare might look like, we’ve included an example below. This form is just a sample, so make sure to check with your child’s daycare provider to see if they have their own form they’d like you to fill out.

Food Allergy Form for Daycare

Food Allergy Form for DaycareFill out this form to provide your child’s daycare with important information about their food allergies.

Child’s Information

Child’s InformationFill out the following information about your child:

  • Name: _________
  • Age: ___________
  • Weight: ___________
  • Medical History: _____________________________________________________________________
  • Allergies: ___________________________________________________________________________
  • If your child has an EpiPen, please provide it to the daycare along with clear instructions on how to use it.

Food Allergy Information

Food Allergy InformationFill out the following information about your child’s food allergies:

  • Allergy #1: ________________________________________________________________________
  • Symptoms of reaction: ________________________________________________________________
  • Treatment for reaction: _______________________________________________________________
  • Allergy #2: ________________________________________________________________________
  • Symptoms of reaction: ________________________________________________________________
  • Treatment for reaction: _______________________________________________________________
  • Allergy #3: ________________________________________________________________________
  • Symptoms of reaction: ________________________________________________________________
  • Treatment for reaction: _______________________________________________________________
  • Any other allergies: __________________________________________________________________

Emergency Contact Information

Emergency Contact InformationFill out the following information for your emergency contacts:

  • Name: ____________________________________________________________________________
  • Relation: __________________________________________________________________________
  • Phone number: _____________________________________________________________________
  • Alternate phone number: _____________________________________________________________

Remember, filling out a food allergy form for daycare is just one step you can take to keep your child safe. You should also talk to the daycare providers about your child’s allergies and make sure they understand how to avoid exposing your child to any allergens. By working together, you can ensure that your child has a safe and healthy experience at daycare.