Preparing for School Registration

Identify students with Asthma

May – August

May – Aug

Start the year right for kids with asthma

Communicate with families about registration activities

 Identify children who indicated they have asthma

Resources

Asthma Intake Form (English)

Asthma Intake Form (Spanish)

Colorado Asthma Care Plan and Medication Order for School and Child Care Settings documents:

Optional activity for schools with onsite registration events: school nurse-led team staffs a table to talk about chronic conditions

Review health information submitted by families 

 

Identify children who indicated they have asthma or use inhaler but did not complete forms

Review Asthma Intake Forms for completeness

Review Colorado Asthma Care Plan and Medication Order for Schools and Childcare Settings Plan for completeness

Children meeting any of the following criteria are  considered to have at-risk asthma.

2 or more urgent care/ER visits for asthma in the past 12 months

☐ Hospitalization for asthma in the past 12 months

☐ 2 or more courses of prednisone or systemic corticosteroids for asthma in the past 12 months

More than 5 missed school days due to asthma in the previous school year

Uses rescue / quick relief medication more than 2 days per week

Has daytime asthma symptoms more than 2 days per week

Awakes at night with asthma more than 2 times per month

☐ Physical activities  are often or always limited

 

Reach out for missing information as needed from the step above

 

Call, email or mail to guide families to complete and submit forms

Resources:

Summer Asthma Letter (PDF)

Summer Asthma Letter (DOC)

Asthma Care Plan letter to parents (PDF)

Asthma Care Plan letter to parents (DOC)

Letter for parents to give to provider (PDF)

Letter for parents to give to provider (DOC)

Review asthma intake form to identify and track students at risk for uncontrolled asthma


Resource:

Highlighted CDE Asthma Intake form