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OFFICE OF CATHOLIC SCHOOLS DIOCESE OF ARLINGTON ASTHMA ACTION PLAN FOR USE WITH INHALER AUTHORIZATION FORM PROCEDURES ON REVERSE PART I TO BE COMPLETED BY PARENT: Student DOB School Grade Parent /
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How to fill out diocese asthma action plan

How to fill out a diocese asthma action plan:
01
Start by obtaining a copy of the diocese asthma action plan form. This form should be provided by your diocese or religious organization.
02
Read through the form carefully to familiarize yourself with its sections and requirements. Pay special attention to any instructions or guidelines provided.
03
Begin by filling out the personal information section. This may include your name, date of birth, contact information, and any relevant medical details such as allergies or other conditions.
04
Moving on to the asthma management section, provide detailed information about your asthma diagnosis. Include details about the severity of your asthma, any triggers that worsen your symptoms, and any medications or treatments you are currently using.
05
Be sure to complete the emergency contact section, including the names and phone numbers of individuals who should be notified in case of an asthma emergency.
06
If applicable, fill out the medication section. This section typically requires you to list the names and dosages of any asthma medications you are prescribed, as well as instructions on how to administer them.
07
Finally, review the completed form for accuracy and completeness. Make sure all necessary sections have been filled out, and double-check any information provided.
Who needs a diocese asthma action plan?
01
Individuals who have been diagnosed with asthma and are affiliated with a diocese or religious organization may need a diocese asthma action plan.
02
This may include members of the clergy, employees, staff, volunteers, or anyone regularly participating in diocese-related activities or events.
03
It is important for individuals with asthma to have an action plan to ensure they receive appropriate care and support in case of an asthma attack or emergency within the diocese community. The diocese asthma action plan helps to outline individualized management strategies and emergency procedures necessary to address their specific asthma needs in a church or religious setting.
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