Doctor\'s letter

Posted on: Wed, 02/20/2002 - 1:01pm
tkiamly's picture
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I've done a limited search of the boards and I can't seem to find a specific example/copy of an actual letter provided by an allergist stating the child's allergy and risks associated with it that can be provided when meeting with the school concerning a possible 504. I apologize if I just didn't search properly but....can anyone help with this? Does anyone have an actual letter they wouldn't mind providing (with censoring of personal info.)?
I did find the info. (I think from a Rhonda) stating what she requested from her allergist-which was very helpful.
I need to get on the ball...daughter starts kindergarten this year! I've hesitated to pursue this yet because it is possible we'll be leaving the area...but now it's getting closer and closer...
Thanks for any help!
tkiamly

Posted on: Wed, 02/20/2002 - 10:51pm
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See under this Board, the thread from Rhonda RS "Our Letter To Our Doctor Requesting Documentation for School..." I sent almost a clone of this letter to my doctor, and he's sending a letter back to me for review so I can present one to the administrators.

Posted on: Thu, 02/21/2002 - 5:17am
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After using Rhonda's letter to my doctor, he responded as follows. The following letter was typed verbatim (minus one minor typo which I corrected) from the original except for privacy issues noted with an X.
2/19/02
Dear XXX School District Administrators, School Nurses and Teachers,
This letter is in regards to Ryan X X, DOB X/X/XX, a student of yours that is anaphylactically allergic to peanuts. Ryan's life-threatening peanut allergy needs to be understood by the above listed parties to ensure his safety at school.
Ryan was tested by prick puncture allergy testing for peanuts on 12/X/99, and reacted positively to the testing. On 8/X/01, Ryan was blood tested to confirm his allergy. The blood test revealed a high positive peanut anitibody level, indicating that he is very sensitive to peanut.
Ryan's other medical conditions, for which I am treating him, include asthma and eczema.
Ryan can have an allergic reaction to peanuts through contact, inhalation or ingestion of the peanut allergen. With a peanut reaction, Ryan can experience difficulties with his asthma, including wheezing and finally resulting in respiratory arrest. Ryan could have vomiting and diarrhea. Ryan's cardiovascular system could be affected with low blood pressure ending in cardiac arrest in the worse case scenario. Ryan could have hives and angioedema and his speech can be affected by swelling of his tongue and vocal cords. These reactions are potentially serious and can result in death due to respiratory and/or cardiac arrest.
Ryan needs immediate medical attention during a reaction. Epipen Jr. should be administered immediately along with 1 1/2 tsp of Prednisone and 1 1/2 tsp of Benadryl. Ryan needs to be taken to the nearest Emergency Room. The Epipen Jr. needs to be present with Ryan at all times.
Ryan is currently on the following medications through our office; Zyrtec or Claritin and Albuterol as needed, Singulair daily, and Epipen Jr., Prednisone and Benadryl for an allergic reaction.
Due to Ryan's high sensitivity to peanuts, every reaction, no matter how minor, should be treated as stated above. If you have any questions, please feel free to contact my office at XXX-XXX-XXXX.
Sincerely,
X. XXX, M.D.
I may have to edit this later--I only quick checked for my own typos but I think it's okay. My son needs to "use" the computer NOW. I hope this helps. I'll have to type my other letter later from the doctor which discusses peanut allergy management in the classroom.
[This message has been edited by ryan's mom (edited February 21, 2002).]
[This message has been edited by ryan's mom (edited July 10, 2002).]

Posted on: Fri, 02/22/2002 - 8:37am
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Okay, I have a couple minutes to type in the first letter from my son's allergist concerning peanut allergy issues in the classroom. It is as follows:
1/28/02
To Whom It May Concern:
Ryan X is a 5 year-old with peanut allergy and is under my care for this peanut allergy. Ryan has peanut induced asthma characterized by vomiting, coughing, and wheezing with accidental exposure to peanut and peanut containing products. Ryan is also highly sensitive to peanut by his CAP RAST testing (blood test).
To ensure Ryan does not have any peanut exposure at school, I would like to recommend the following:
1. Ryan's classroom should be completely peanut free. To ensure a peanut free classroom, I would like to recommend that children who bring peanut containing snacks or peanut containing lunch should be allowed to eat outside the classroom in another designated area. The children, after eating the snacks and lunch, should wash their hands before they enter the classroom to avoid accidental peanut exposure by inhalation or cross-contamination by touching another child who has eaten peanut products. I would appreciate if the teacher could ensure that the children who bring peanut containing products eat outside the classroom and also wash their hands before they enter the classroom.
2. Ryan should also be allowed to carry the Epipen on him in case of any systemic reactions that occur on the school bus or in the classroom. In case of a systemic reaction, an adult could administer the Epipen to Ryan. I have discussed with Mrs. X regarding the possible misuse of the Epipen by other students and Mrs. X understands the risks of Ryan carrying the Epipen on him.
If you have any questions regarding Ryan's therapy or evaluation, or any question regarding peanut allergy and its prevention, please feel free to contact me.
Sincerely,
Dr. X

Posted on: Sat, 02/23/2002 - 4:37am
tkiamly's picture
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I'm sorry I didn't get back right away-my youngest was in the hospital. Thanks so much Ryan's mom-that is exactly what I was looking for-an example of the doctor's letter for the school! I appreciate you taking the time to send it. I hope to get some ideas from it!
Thanks again!
tkiamly

Posted on: Sun, 05/05/2002 - 11:17pm
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Joined: 05/28/2009 - 16:42

Just reraising.

Posted on: Mon, 05/06/2002 - 2:08am
CVRTBB's picture
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Joined: 11/23/2001 - 09:00

Ryan's Mom,
I wanted to say THANK YOU VERY MUCH for posting these letters! I used the first one after changing the pertinent information when my son's pediatrician said, "You bring in any information you want sent to the school as coming from me and I'll sign it". Meaning he didn't have time to do any research or come up with anything. So I took your letter and some literature that I found on the net, telling them to reword the letter wherever they felt neccesary. When I picked it up they had photocopied the letter (you couldn't tell, only I could because it was the same font/size etc as I had given to them) onto their letterhead and the Dr had signed it. It was exactly what I needed! Thanks again for sharing it!
Valerie

Posted on: Wed, 07/10/2002 - 12:43am
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Joined: 05/28/2009 - 16:42

Reraising for Rosa.

Posted on: Fri, 08/02/2002 - 11:14am
tkiamly's picture
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Joined: 05/22/2001 - 09:00

I wanted to let everyone know what I have been doing to prepare the school for my PA daughter starting kindergarten this fall and also provide a sample of the letter to the school from her allergist.
At the end of the school year this past May my husband and I met with the school nurse (who is only there one day a week), the principal, and a gentleman (can't remember his title) that works with the city's special needs students and oversees those requiring specific plans. It went very well. The nurse seemed somewhat informed about the dangers of allergies and asthma (my daughter has asthma also)and she even has the information from FAAN. The principal, although very nice and interested in learning more, seemed a bit unaware of the dangers of food allergies and cross contamination. We provided the school with a letter from her allergist as well as a Plan of Action and a written list of Reasonable Precautions to Reduce Potential Exposures. I wrote the Plan of Action and faxed it to my daughter's doctor who then checked it and approved it. The Plan of Action is what we feel our comfort zone expects of the school. It is somewhat long so I won't type it now but we reviewed it with them and there are still some things we need to go over again and make sure we agree on. We are supposed to meet with them and whoever her teacher will be (we don't know that very far in advance) again right before school starts and they said that they will have a meeting on food allergies with the rest of the staff. The children are often under a variety of people's care so they requested that she have a medical alert bracelet-which I was ordering anyway and she wears it. They also said I can present them with a sample letter to be sent home to parents of classmates regarding snacks not containing allergens. All in all it seems to be going quite well! I hope things continue on the same course!

Posted on: Fri, 08/02/2002 - 11:24am
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Joined: 05/22/2001 - 09:00

Here is a sample of the letter from my daughter's allergist:
The purpose of this letter is to make you aware of the food allergies of one of yourstudents, XXXX. It is critical that all reasonable steps be taken to avoid placing XXX at risk for possible exposure/ingestion of peanut or nut proteins. XXXXX is also moderately allergic to egg, although recent testing suggests that she may soon outgrow that allergy. It is very important that a self-administered dose of epinephrine be kept in the school clinic/office and that there will always be someone at the school trained to use this device. I suspect that there are other children at you school with food allergies and that precautions to reduce these children's potential exposures to dangerous foods are already in place.
I realize the potential difficulties in protecting children with food allergies and would be happy to discuss any issures regarding prevention and treatment of food reactions. Please feel free to write or contact me at my xxxx office any time.
................... Hope this info. is helpful to others!

Posted on: Fri, 08/02/2002 - 11:45am
tkiamly's picture
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Joined: 05/22/2001 - 09:00

Well, twice I have tried to type a sample of our Plan of Action provided the school and the computer kicked my offline and I lost it all..............sooooooooooooooo....perhaps another time!! Sorry!

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