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STUDENT HEALTH HISTORY ASTHMA Student Name: Student Number: Date of Birth: School: Teacher/Grade: Doctor : Doctors Number: Ride Bus: Yes No Allergies: Parent/Guardian: Home Phone: Other Phone: Parent/Guardian:
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How to fill out student health history- asthma

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How to fill out student health history- asthma:

01
Gather all relevant medical information: Before filling out the student health history form, make sure to collect all the necessary medical information related to the student's asthma. This includes details about any previous diagnoses, medications, treatment plans, and any significant medical events related to asthma.
02
Provide accurate personal information: Begin by providing accurate personal information about the student, such as their name, date of birth, address, and contact details. This will help the healthcare provider or school nurse identify the specific student's health records.
03
Describe asthma diagnosis: In this section, clearly mention when and how the student was diagnosed with asthma. Include details about the age of diagnosis, the doctor who diagnosed them, and any specific tests or evaluations that were conducted.
04
List current medications: Provide a comprehensive list of all the medications that the student is currently taking to manage their asthma. Include both prescription and over-the-counter medications, as well as any inhalers or nebulizers used.
05
Mention triggers and symptoms: Describe any specific triggers or allergens that may worsen the student's asthma symptoms. This could include exposure to smoke, pollen, exercise, or certain foods. Also, mention any common symptoms the student experiences, such as wheezing, coughing, chest tightness, or shortness of breath.
06
Detail emergency action plan: If the student has an emergency action plan in place, provide all necessary details. This plan outlines what steps should be taken in case of an asthma attack, including which medications to use, when to seek medical help, and emergency contact information.

Who needs student health history- asthma?

01
School nurse: The school nurse plays a vital role in ensuring the health and safety of students while they are at school. Having access to the student health history, including their asthma-related information, allows the nurse to provide appropriate care and support when needed.
02
Teachers and staff: It is essential for teachers and other school staff to be aware of a student's asthma condition. Knowing the student's triggers, symptoms, and emergency action plan can help them create a safe and supportive environment and respond effectively in case of an asthma-related emergency.
03
Healthcare providers: Access to a student's complete health history, including their asthma-related information, is crucial for healthcare providers. This enables them to make informed decisions about diagnosis, treatment, and ongoing care for the student.
In conclusion, filling out the student health history- asthma form accurately and providing all relevant information is important for the student's well-being and safety at school. It helps the school nurse, teachers, and healthcare providers to understand the student's condition and provide appropriate support and care.
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Student health history- asthma refers to the medical information related to a student's history of asthma, including any past diagnoses, treatments, and symptoms.
Parents or guardians of students with asthma are required to file student health history- asthma forms with the school.
Parents or guardians can fill out student health history- asthma forms by providing accurate and detailed information about the student's asthma history, medications, triggers, and any emergency action plans.
The purpose of student health history- asthma is to ensure that schools are aware of students with asthma, understand their medical needs, and can provide appropriate support in case of emergency.
Information reported on student health history- asthma may include the student's asthma diagnosis, medications, known triggers, emergency contact information, and any necessary emergency action plans.
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