Appropriate age groups:
Preschool and Younger
Elementary School
Middle School
High School & Beyond

General purpose of letter:
You can use this sample letter to inform the school nurse about any of your childÆs allergies or illnesses. It is especially helpful to include emergency kits that your child will need in case of an accident. Be specific in listing anything that can affect your childÆs health, positive or negative. List all contact numbers, including your doctorÆs number, for the nurse to have on file. As an example, this sample letter describes in detail what needs to be done if your child is allergic to peanuts.

Sample letter:
Date

Ms/Mrs./Mr. [Nurse? Name]
Job Title
School Name
School Address
City, State and Zip Code

Dear Ms./Mrs./Mr. [Nurse? Name]:

My child, [Child? Name], has a severe allergic reaction to peanuts. I have notified [Child? Name] teacher and have informed her/him of the need to be extremely cautious in making sure that [Child? Name] does not eat anything made with peanuts. This would include fried foods made in peanut oil--packed popcorn, potato chips, Asian food, etc.--as well as foods like regular M&Ms and peanut butter. Please make sure that any other individual who supervises [Child? Name] understands exactly what to do in case of an emergency.

Enclosed is an emergency epinephrine auto-injector in case of an accident.

If you have any questions, don? hesitate to call me either at home, [home phone number], or at my office, [office phone number]. I also have a beeper number for emergencies, [beeper phone number].

Thank you very much.

Sincerely,
[Signature]

[Your Name]

[Parent's/Guardian's Name]
[Work/cell phone numbers]
[Best time to be reached]

[Child? Name]
[List of child? medications and current allergies/illnesses]
[Doctor? Name]
[Doctor's phone and beeper numbers]