Get Rutherford County Schools Asthma Action Plan Child Information This Portion Is To Be Completed By A

Filling out the RUTHERFORD COUNTY SCHOOLS ASTHMA ACTION PLAN Child Information form is an essential step in ensuring that proper support is provided for your child’s asthma management. This guide will walk you through the necessary steps to complete the form online, ensuring clarity and efficiency.

Follow the steps to successfully complete the asthma action plan.

1. Press the ‘Get Form’ button to access the asthma action plan and open it in your preferred text editor.
2. Begin by filling out the child’s information, including their full name, age, date of birth, grade, and the name of their homeroom teacher. Ensure all details are correct for accurate records.
3. In the emergency information section, enter the names and contact numbers of the parent or guardian, making sure to include multiple phone numbers for accessibility.
4. List the child’s pulmonologist and primary care physician's contact information. This step is crucial for healthcare communication.
5. Indicate the preferred local emergency department your child will use in case of an emergency.
6. Provide contact details for two individuals who can be reached in case the parent or guardian cannot be contacted.
7. Identify potential asthma triggers by checking all that apply and describing any specific allergic reactions.
8. List any environmental measures, medications, or dietary restrictions necessary to minimize asthma episodes.
9. Record the medications that are taken at home, including details like dosage, purpose, and schedule.
10. Detail the medications to be administered at school, including strength and dosage.
11. Check the signs and symptoms that your child exhibits during an asthma event.
12. If applicable, indicate whether your child uses a peak flow meter and provide their personal best peak flow reading.
13. Note any other chronic illnesses or disabilities alongside any allergies or limitations your child may have.
14. Read and acknowledge the terms regarding medication administration and confidentiality by signing the form.
15. After completing the form, ensure to save your changes. You can then choose to download, print, or share the completed document.

Complete the RUTHERFORD COUNTY SCHOOLS ASTHMA ACTION PLAN online to ensure your child's health needs are met.