Poway, CA · San Diego County
Emergency Allergy Treatment Procedures and Forms
Lake Poway Day Camp parents or guardians and the child’s physician complete these forms to provide emergency allergy treatment instructions and authorize care.
What this form is
These procedures and forms address emergency care for Lake Poway Day Camp children with severe allergies requiring an epinephrine auto-injector. Parents or guardians must provide the completed physician and parent authorization, liability waiver, and allergy information during check-in on the child’s first day of camp. The forms ask about symptoms, treatment steps, contacts, activity restrictions, and medication instructions.
Who needs it
Parents or guardians enrolling a child with severe allergies requiring an epinephrine auto-injector in Lake Poway Day Camp need to complete and submit these forms.
How to submit it
Submit all completed forms to camp staff during check-in on the child’s first day of camp, and provide the prescribed medication with pharmacist labeling.
About notarization
This document is signed without a notary; the parent or guardian and physician sign and date the forms, with no notarized or sworn attachment specified.
How to submit this form
- 1
Download the Forms
Download the emergency allergy treatment procedures and forms for Lake Poway Day Camp.
- 2
Complete the Authorization
Have the physician complete Part I and the parent or guardian complete Part II, then sign and date the applicable forms.
- 3
Gather the Medication
Bring prescribed medication with pharmacist labeling that includes the child, pharmacy, prescribing physician, medication, prescription number, and directions.
- 4
Submit at Camp Check-In
Submit all completed forms to camp staff during check-in on the child’s first day of camp.
Frequently asked questions
- Do I need a notary for the Emergency Allergy Treatment Forms?
- No. The document calls for parent or guardian and physician signatures and dates, but does not specify notarization or a sworn attachment.
- How do I submit the Emergency Allergy Treatment Forms?
- Submit all completed forms to camp staff during check-in on the child’s first day of Lake Poway Day Camp, and provide the prescribed medication with pharmacist labeling.
- Who completes the authorization form?
- The child’s physician completes Part I, and the parent or guardian completes Part II. The parent or guardian also signs the release and waiver.
- What information does the authorization request?
- It asks for the child’s symptoms, emergency treatment steps, physician and emergency contact information, and any recreational activity restrictions.
Need something notarized?
This Emergency Allergy Treatment Procedures and Forms doesn’t need a notary — but if you have another Poway form that does, a commissioned online notary can help.