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Free printable tool

Make your own caregiver food allergy action plan

Fill in the form below and download a printable one-page plan your babysitter, grandparents or daycare can post on the fridge. It covers the Big 9 allergens plus your own triggers, safe feeding rules, symptom guidance, and a four-step epinephrine plan.

  • No account required — everything stays on your device
  • Big 9 allergens plus custom triggers with severity levels
  • Print-ready PDF sized for US Letter
Grandmother and young child opening a pre-packed lunchbox with a stainless steel water bottle at a sunny kitchen table

Build your plan

Fill in the details and custom instructions to safely care for your child. The preview below updates as you type. When you are finished, click Download PDF to get your own printable caregiver plan.

Note: We do not store any information entered on the form. Everything remains securely on your device.

Child

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Contacts

Allergens & restrictions

The Big 9

Other common triggers

Safe feeding protocols

Symptoms

Emergency action plan

Authorization

Preview

Stuff I Can EatSmart food allergy safety & caregiver tools
Caregiver Handoff Checklist
Child's full name
 
Age / date of birth
 
Medication storage location
 
Primary contact
 
Secondary / backup contact
 
Auto-injector expiry
 
Pediatrician
 
Preferred ER / hospital
 
Emergency services
Call 911
Confirmed allergies & restrictions

No allergens selected yet.

Strict safe feeding protocols
  • Only feed food packed by the parent — no outside food, shared snacks, or unverified treats.
  • Wash hands with soap and water before handling food (hand sanitizer does not remove allergens).
  • Wash high chairs, tables, and cutting boards before mealtime.
  • No shared utensils, cups, or plates with other children.
  • Read every label, every time — recipes change without notice.
  • No food offered by other children or adults without checking with a parent first.
Symptom evaluation
Reaction level
Observed symptoms
Action required
Mild symptoms
A few isolated hives, mild skin redness, itchy nose or mouth, mild stomach ache.
Stay with the child, monitor closely, and call the parents immediately.
Severe symptoms(anaphylaxis)
Wheezing, trouble breathing, lip or tongue swelling, hoarseness, pale or blue skin, dizziness, repeated vomiting, or mild symptoms in 2+ body systems.
ACT FAST: administer epinephrine and call 911 immediately.
4-step emergency action planCall 911 immediately after epinephrine
  1. 1GIVE EPINEPHRINE: administer the auto-injector into the outer thigh at the first sign of a severe reaction.
  2. 2CALL 911: state "A child is having an anaphylactic reaction and epinephrine was administered."
  3. 3CALL GUARDIANS: contact the parents right after emergency services are notified.
  4. 4SECOND DOSE: if symptoms do not improve within 5–10 minutes, administer a second dose in the opposite thigh.
Additional instructions from the parent
 
Parent / guardian signature — I authorize the administration of epinephrine
Date
Stuff I Can Eat — digital tools for managing food allergiesSet up your free account at stufficaneat.com

Print one copy for the fridge, one for the diaper bag, and one for school alongside a written 504 plan for kindergarten. Review it with every caregiver before you leave.

Keep your child safe everywhere food is served

Stuff I Can Eat checks restaurant menus and grocery labels against your child's exact allergen profile — and builds translated allergy cards in seconds.

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Keep reading

More practical guides to help you eat safely and confidently.