Treating Asthma at School: Information for Teachers and the School Nurse
Help prepare your child’s teachers and school nurse in case your child has an asthma attack at school. To do so, fill in your child’s information below. Be sure a copy of the filled-out form is given to your child’s teacher(s) and kept in the classroom. A copy should also be kept in your child’s file.
(Write your child’s name) _______________________________________ has asthma.
Things that can bring on an asthma attack: ___________________________
________________________________________________________________________
Signs that an attack may be starting: _________________________________
________________________________________________________________________
Medicines my child needs to take at school:
Medicine________________________________________________________________
When? __________________________ How often?_____________________________
Medicine________________________________________________________________
When? __________________________ How often?_____________________________
What my child should do before playing sports or before gym class:
________________________________________________________________________
Steps the teacher should take during an asthma attack:
-
_____________________________________________________________________
-
_____________________________________________________________________
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Contact parent if attack continues.
Emergency names and numbers:
Name of parent(s): ___________________ Name of Doctor: ______________________
Telephone number: ___________________ Telephone number: ____________________
