School Asthma Forms

Colorado School Asthma Care Plan*

A form that your doctor fills out so that your child can have their inhaler at school.

*Formal name of this form: COLORADO ASTHMA CARE PLAN AND MEDICATION ORDER FOR SCHOOL AND CHILD CARE SETTINGS

Asthma Intake Form

This form helps the school nurse understand how severe your child’s asthma is so that they can help support your child at school.

Medication Self-Carry Form

This form, an agreement between child and school nurse, shows that a child is able to carry and administer their own medications.

Ask your school nurse about the self-carry process in your school.

Back-to-School Asthma Checklist for the Family 

Things to do prior to return-to-school so that the child’s asthma is as well-controlled as possible.