Anaphylaxis ASCIA Action Plan +/- EpiPen script

$5.00

This function is ONLY available to patients previously seen by Dr Sam Mehr in his private rooms. You can use this easy online tool to request an Anaphylaxis ASCIA Action Plan from Dr. Sam Mehr.

Simply add this Action Plan to the cart and checkout. Dr. Sam Mehr will use your order details to complete your Action Plan and mail you with a printed copy as soon as possible (expect delivery within 2 weeks). If an EpiPen Junior or Epipen 300 mcg script is also required, please JUST PAY for the plan and state you also require an EpiPen script (please let us know your child’s weight).

Child’s Details *

Current Food Allergies *

Please enter all known food allergies below

Asthma *

Does your child have asthma and has been prescribed Ventolin?

Oral anti-histamine

Which oral anti-histamine do you use to manage allergic reactions? (please specify)

SKU: 001 Category: