Getting ready for a new school year means more than buying supplies if your child has allergies. A little planning before classes begin can help prevent emergencies, reduce missed school time and make sure teachers, nurses and staff know exactly how to respond if a reaction occurs.

For families managing food or environmental allergies, the most important back-to-school tasks are updating school health forms, confirming access to medication and understanding whether a Section 504 plan may be appropriate. According to the Centers for Disease Control and Prevention, about 1 in 13 children has a food allergy, making allergy preparedness a reality for many schools across the country.1
Start With School Allergy Forms
School forms are often the foundation of an allergy action plan. Don’t assume last year’s paperwork carries over.
Many schools require updated documentation each year, particularly for students who carry epinephrine or take daily allergy medications.
A complete file typically includes:
- A physician-signed allergy action plan
- A list of known allergy triggers
- Medication authorization forms
- Emergency contact information
Starting early helps avoid a scramble to correct missing information on time.
Make Sure Medication Access Is Clear
Children, parents and school staff should all know where allergy medications are stored and who can administer them.
Depending on school policy and a child’s age, medications may be:
- Kept in the nurse’s office
- Stored in a classroom emergency kit
- Carried by the student if self-carry is permitted
If your child carries an epinephrine auto-injector, review when and how to use it. A quick conversation before school starts can build confidence and help remove uncertainty during an emergency.
For families across the Hickory Metro/Catawba Valley Region and the Western North Carolina Foothills, this simple step can prevent confusion when school routines become busy.
Understanding Section 504 for Severe Allergies
A Section 504 plan is a legally binding agreement between a school and family that provides accommodations for students whose medical condition substantially affects a major life activity.
For a child with severe allergies, accommodations may include seating considerations, allergy-safe classroom procedures, field trip planning or access to emergency medication.
Not every child with allergies needs a 504 plan. When allergies create significant health or safety concerns, though, it’s worth discussing with your child’s physician and school administration.
Can A Student Carry Their Own EpiPen At School?
Many schools allow self-carry when state law, school policy and physician authorization requirements are met. Parents should confirm rules with their school district before the first day of class.
What Should Parents Bring To A 504 Planning Meeting?
Bring medical documentation, allergy action plans, medication information and examples of situations where allergy exposure could create safety concerns. Clear documentation often makes the conversation more productive.
One More Step: Consider Allergy Testing
Sometimes parents know a child struggles every fall, every spring or whenever they’re around certain foods, but they’ve never received formal testing.
The American Academy of Allergy, Asthma & Immunology notes that allergy testing is safe and effective for children of all ages when guided by an allergist and used alongside a medical history and physical examination.2
If your child experiences recurring congestion, sneezing, itchy eyes, rashes or suspected food reactions, allergy testing can help identify specific triggers and guide treatment decisions.
At Carolina Ear Nose & Throat – Sinus and Allergy Center, we believe families are best served when they have clear answers. If your child is heading into another school year with unresolved allergy concerns, an allergy evaluation may help you move forward with greater confidence and a plan that fits everyday life.
Sources
1 Centers for Disease Control and Prevention. “Food Allergies in Schools.” https://www.cdc.gov/school-health-conditions/food-allergies/index.html
2 American Academy of Allergy, Asthma & Immunology. “Allergy Testing.” https://www.aaaai.org/tools-for-the-public/conditions-library/allergies/allergy-testing