This allergy action plan printable is a free, fillable plan for anyone with a serious allergy and for parents of children with one. You fill it in with your clinician, add a photo, and share it with school, work, daycare and anyone who looks after you.
Anaphylaxis is a severe allergic reaction that can be life threatening, and food allergies are one of its main causes. A clear plan helps the people around you spot the signs and follow the steps your clinician wrote, even when you cannot explain them yourself.
Download the Allergy Action Plan Printable
- Fill it in on your phone or computer, or print it
- US Letter and A4
- Includes a filled example
US Letter suits the US and Canada. A4 suits most other countries.
How it helps
One page for everyone
Your allergies, reaction signs, medicines and emergency contacts are on one page that a teacher or caregiver can read quickly.
Medicines that are ready
Track where each medicine is kept, when it expires and when you replaced it.
A record for your clinician
The reaction log and visit review show what happened between visits, so your plan can be updated.
How to use it
- Fill in Complete the plan with your clinician and add a photo.
- Share Give a copy to school, work and anyone who looks after you.
- Log Write down any reaction while you still remember it.
- Review Bring it to each visit and update what has changed.
What is inside
- My planYour details and photo, what you are allergic to, the signs and steps for a mild and a severe reaction, your medicines and emergency contacts. Includes a filled example.
- Sharing my planWhere your medicines are kept and when they expire, who has a copy, and the places to plan ahead for.
- My reaction logOne line for each reaction, with what you were exposed to, the signs, whether medicine was used and any emergency visit.
- Before my next visitCounts since your last visit, what has changed, how carrying your medicines is going and a card for your next appointment.
See a filled example
The example plan is for Leo Martin, made with Dr. Okafor on October 2, 2026. Peanut and tree nuts are ticked, and so is asthma. His mild reaction signs include an itchy mouth and a few hives, and his severe signs include trouble breathing and swelling of the lips or tongue. Each card points to the medicine his clinician listed for it, the severe card ends with the reminder to call 911, and his parents are his emergency contacts.
Open the full PDFTips that make it work
- Fill in the plan with your clinician and ask them to sign and date it. A recent photo helps school staff recognize you or your child quickly.
- If you need an allergy action plan for school, give a copy to the school nurse and the main office, and list each copy on Sharing my plan.
- Keep a copy with your medicines so the plan and the medicine are found together.
- Write each reaction in the reaction log the same day, even a mild one, so the details are fresh for your next visit.
Bringing it to your doctor
Bring your plan, your reaction log and Before my next visit to each appointment. The log shows what you were exposed to, what happened and what was done, which helps your clinician decide whether your plan needs to change. Talk to your clinician after any reaction, even a mild one. If anyone has signs of a severe reaction, call 911 (or your local emergency number).
Questions
What is an allergy action plan?
An allergy action plan is a written plan from your clinician that lists your allergies, the signs of a reaction and what to do. It also lists your medicines and who to call. Schools, daycares and caregivers use it so they can act quickly.
What is an anaphylaxis action plan?
An anaphylaxis action plan is the same kind of written plan, with a focus on severe reactions. Anaphylaxis is a severe allergic reaction that can be life threatening. This printable covers both mild and severe reactions, so it works as an anaphylaxis action plan printable too.
What is included in an allergy action plan?
It includes your allergies, the signs of a mild and a severe reaction, the steps your clinician wants followed, your medicines and your emergency contacts. This one also has a photo slot, a space for your clinician's signature, and pages for medicine locations, copies and a reaction log.
How often should an allergy action plan be updated?
Update it whenever your allergies, medicines, contacts or your clinician's instructions change, and review it at each visit. Ask your clinician how often they want to see it. Replace every copy you have shared when anything changes.
What to do during an allergic reaction?
Follow the steps your clinician wrote on your plan. If someone has signs of anaphylaxis, such as trouble breathing or swelling of the throat, call 911 (or your local emergency number). They still need emergency care even if their epinephrine has already been used.
Is this allergy action plan free?
Yes. It is free in A4 and US Letter sizes. Fill it in on your phone or computer, or print it and keep copies wherever your medicines are.
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References
- Cleveland Clinic. Anaphylaxis: What it is, causes, symptoms and treatment. https://my.clevelandclinic.org/health/diseases/8619-anaphylaxis