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Food Allergy Emergency Form for Babysitters, Caregivers, Camps, and More

Food Allergy Babysitter and Drop-Off Child Care Form


Free! Download, print and use this form created for you by a collaborative effort of Kids With Food Allergies and, written by Michael Pistiner, MD, MMSc, edited by John Lee, MD. 

Use this guide
to review key food allergy management principles and to inform other caretakers about your child's specific food allergies. This is a handy reference for play dates, birthday parties, camps and other drop-off situations.

The form has been recently updated and redesigned. A PDF reader is required to open and save the form.  Fill in your child's information and print it to share with their caretakers.

"Created to help teach friends, family, babysitters and others responsible for the care of children with food allergies."

Additional resources and information can be found in our free video: Babysitters, Playdates, and Parties: How to Transition Care for Children with Food Allergies with guest speakers Dr. Michael Pistiner of and Dr. Sarah Boudreau-Romano of



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Kids With Food Allergies (KFA) is a division of the Asthma and Allergy Foundation of America (AAFA). AAFA is the largest and oldest nonprofit patient organization dedicated to asthma and allergies. KFA educates families and communities with practical food allergy management strategies to save lives and improve the quality of life for children and their families. Our online community includes public blogs. To post a comment, you will need to register or sign in. Registered members have access to additional specialized support forums for food allergies. Registration is free!

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Comments (2)

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Thanks! We love this resource!

Lynn - ANA loperamide (immodium); mom to:
Sam (7/2006) - breastfed 7/06 to 4/09; allergic to: egg, cow milk, tree nuts, sesame, fish, latex; IOFC to baked cheese, baked milk, peanut, selected tree nuts = pass.
Max (9/2009) - breastfed 9/09 to 1/12; Asthma; IOFC milk, egg, peanut, sunflower, tree nuts = pass

Looking for Allergy-Friendly Recipes? Check out KFA's Recipe Collection
Newly Diagnosed?  What parents need to know

Kids With Food Allergies
A Division of the Asthma and Allergy Foundation of America
1235 South Clark Street Suite 305, Arlington, VA 22202
Phone: 1-800-7-ASTHMA (1.800.727.8462)
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