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) PDF
Asthma Intake Form (Spanish) PDF
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:
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