The American Academy of Allergy, Asthma & Immunology's one-page plan tells caregivers at school, camp or work what to do if a patient at risk of anaphylaxis reacts. It lists the patient's allergies, asthma status, other health problems and current medications, the symptoms of anaphylaxis by body system, and the epinephrine product and dose to inject in the thigh before calling 911.
The patient's physician completes the plan and signs it with the date and a phone number. A parent also signs for patients under 18.
Download the current version from the source each time; forms change without notice.
Anaphylaxis Emergency Action Plan
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.
Vero is not affiliated with, or endorsed by, the agencies and insurers listed here. Read our editorial policy.
Yes. AAAAI offers fillable versions in English and Spanish; the Spanish one is titled Anafilaxia, Plan de accion para emergencias. A non-fillable English copy is also posted on the AAAAI school tools page for anaphylaxis and food allergy.
The patient's doctor signs and adds the date and a phone number. For anyone under 18, a parent signs as well. The plan also lists up to three emergency contacts with home, work and cell numbers, and its steps say to call 911 before calling those contacts.