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Asthma Health Care Plan

This is the preferred form for a student with asthma and the need for an inhaler.  If the student is going to self carry an inhaler, towards the bottom of the page, the physician must check the box that self carry is permitted.  The student will also need to meet with the school nurse to confirm knowledge of the medication and correct administration technique.

As a reminder, all medications must be in the original container, labeled with the child's name and dosage of the medication.  Please also check medication expiration dates to assure they are not expired.
May 11, 2015, 10:53 AM