• Click the inhaler to access the Asthma Action Plan,

    Medication Request Form, & Request to Carry Med Form

    Spanish Version Click Here

    Please note - ALL FORMS must be signed a a physician and renewed EVERY 12 months

    Asthma Students Checklist

    • Current Action Plan - signed by the doctor
    • Medication Administration Form completed for each med left in the clinic
    • Request to Carry Form if intended to carry meds - signed by the doctor
    • Inhaler - not expired
    • Any spacers or tubing needed for administration of meds

    inhaler

     

Last Modified on August 4, 2022