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Get the free Student Self-Administration of Asthma or Anaphylaxis Medication - Authorization Form

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Associated School Boards of South Dakota NEON Code: JUDGE(1) Policy Reference ManualSTUDENT MALADMINISTRATION OF ASTHMA OR ANAPHYLAXIS MEDICATION AUTHORIZATION FORM PHYSICIAN/LICENSED HEALTH CARE
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01
Ensure the student has a written Asthma Action Plan from their healthcare provider.
02
Provide a quiet and private area for the student to fill out the form.
03
Explain the purpose of the form to the student and answer any questions they may have.
04
Make sure the student has all the necessary information, such as their personal details, asthma triggers, current medications, and emergency contact information.
05
Advise the student to read each question carefully and provide accurate and honest responses.
06
Encourage the student to take their time and not rush through the form.
07
Remind the student to sign and date the form once they have completed all the sections.
08
Review the filled-out form with the student to ensure its completeness and correctness.
09
Provide a secure and confidential place to submit the form, such as a designated mailbox or office.
10
Inform the student about any follow-up steps or actions that may be required after submitting the form.

Who needs student self-administration of asthma?

01
Students who have been diagnosed with asthma.
02
Students who require regular medication or treatment for their asthma.
03
Students who need to have an emergency action plan in place in case of an asthma attack.
04
Students who may need support or accommodation for their asthma-related needs at school.
05
Students who want to take responsibility for managing their own asthma and keeping track of their symptoms and medications.
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Student self-administration of asthma is a process where students are allowed to carry and administer their own asthma medication at school.
Parents or guardians of students with asthma are required to file student self-administration of asthma forms with the school.
Parents or guardians need to complete the necessary forms provided by the school, including details of the student's condition, medication, dosage, and emergency contacts.
The purpose of student self-administration of asthma is to ensure that students have quick access to their medication in case of an asthma attack while at school.
Information such as the student's medical history, type of asthma medication, dosage, frequency of administration, and emergency contact information must be reported on student self-administration of asthma forms.
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