Diabetes Emergency Action Plan – Editable Medical Form for Daycare & Preschool

🩺 Diabetes Emergency Action Plan for Childcare | Editable Template + Medication Consent Form

Support children with diabetes in your daycare or preschool with this easy-to-use, customizable Diabetes Emergency Action Plan. Designed for center-based programs, home daycare, and special education settings, this professional one-page form helps you confidently respond to hypo- and hyperglycemic episodes with clarity and care.

This editable template is perfect for providers managing children with Type 1 or Type 2 diabetes, giving your team the tools they need to stay organized, compliant, and prepared for any diabetic emergency.

✅ What’s Included:

• Symptom Tracker
  Document signs of low/high blood sugar like shakiness, confusion, or fatigue for each child—ensuring fast and accurate responses.
• Emergency Action Steps
  A clear, 4-step plan for responding to diabetic episodes, including how and when to administer glucose or insulin.
• Medication Details Section
  Log insulin names, dosages, timing, and administration instructions for easy reference.
• Emergency Contacts
  Quickly access parent, provider, or medical contact info during an urgent situation.
• Written Consent Form (PDF)
  Includes a printable consent form for administration of medication—keep families and licensing boards confident in your care.

🖥️ Editable & Printable Options:
Editable Canva Template – Personalize details for each child
Ready-to-Print PDF – Use instantly, no editing required

💡 Key Benefits:

• Professional & Compliant
  Show parents, staff, and inspectors that you’re fully prepared to handle diabetes care responsibly.
• Parent Collaboration
  Create a customized plan with input from families, ensuring clarity and trust.
• Perfect for Licensing & Inspections
  Organized, professional documentation meets many state requirements for medical care and emergency planning.

📌 Ideal For:

• Daycare providers (in-home or center-based)
• Preschool classrooms
• Childcare centers supporting medical needs
• Special education and IEP planning
• Camps, clubs, and after-school programs

🛒 Instant Download Includes:
1-Page Diabetes Emergency Action Plan (Editable + PDF)
Written Medication Consent Form (Printable PDF)

💾 Bundle and Save!
This form is part of our Medical Emergency Action Plan Bundle, which includes forms for allergies, asthma, seizures, heart conditions, diabetes, and more. Get the complete set to ensure you're prepared for every situation!
[Bundle sold separately]

⚠️ Disclaimer:
This form is intended to support communication and emergency preparedness in childcare settings. It is not a substitute for medical advice, diagnosis, or training. Always consult the child’s healthcare provider for personalized medical guidance.

🎉 Click Add to Cart now to equip your childcare team with this essential diabetes management tool!