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Lewisham hospital values 2026

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How to use or fill out the Anaphylaxis Action Plan with our platform

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your name and date of birth (DOB) in the designated fields at the top of the form.
  3. In the 'Allergens' section, list any known allergens that may trigger anaphylaxis for you or the individual concerned.
  4. Fill out the 'Emergency contact' field with a reliable contact person who can be reached during an emergency.
  5. Complete the 'Plan prepared by' section with your name and date to ensure accountability.
  6. Review the symptoms listed and ensure you are familiar with how to recognize them, as well as how to administer an Epipen® if necessary.
  7. Follow the action plan steps provided in the document, ensuring clarity on what to do in case of an allergic reaction.

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