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My staff and I have taught this child how to use the inhaler when to use the inhaler and when to seek adult assistance. Arlington Heights School District 25 FORM C 2 Asthma Inhaler Carry and/or Self-Administration Permission Form Student Name Birth date Home phone School Grade This form gives permission to o carry o self-administer Please note It is helpful if the parent provides a second inhaler to be kept in the nurse s office. My child knows how to use the inhaler when to use the inhaler...
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