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Asthma Emergency Action Plan Medication Authorization FormCabarrus Charter Academy (K12)School YR:StudentDOBGradeParent/guardian PH #TeachersSchoolAsthma Triggers To be completed by Healthcare Provider:
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Asthma emergency action plan is a written document that outlines the steps to be taken in case of an asthma attack.
Anyone with asthma symptoms or diagnosis, especially individuals in schools, daycare centers, or workplaces.
Asthma emergency action plan can be filled out by a healthcare provider or individual with asthma, listing medications, triggers, symptoms, and emergency contact information.
The purpose of asthma emergency action plan is to provide guidance on managing asthma symptoms and attacks, ensuring quick and appropriate response in case of emergency.
Asthma emergency action plan should include individual's name, contact information, emergency contacts, list of medications, triggers, symptoms, and step-by-step instructions for managing asthma attacks.
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