DIABETES EMERGENCY ACTION PLAN - uintahk12utus 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the student's name, date of birth, and grade in the designated fields. This information is crucial for identifying the student during emergencies.
3. Fill in the parent/guardian's contact information, ensuring that phone numbers are accurate for quick communication.
4. In the 'CHECK BLOOD GLUCOSE' section, indicate the blood glucose levels and their corresponding actions. Use dropdowns or text fields as needed to specify ranges.
5. Complete the sections detailing symptoms of hypoglycemia and hyperglycemia. This will help caregivers recognize signs quickly.
6. Follow through with filling out emergency procedures for both severe hypoglycemia and hyperglycemia, ensuring all actions are clearly stated.
7. Finally, review all entries for accuracy before saving or sharing the document with relevant school personnel.

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