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CONE JO VALLEY UNIFIED SCHOOL DISTRICT Student Support Services 1400 E. Janis Rd., Thousand Oaks CA 91362 (805) 4979511Individualized Healthcare Plan (IHP) ASTHMA Pupil: Grade:DOB:Educational Placement:School:Sequoia
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How to fill out cvusd asthma information form

01
Obtain the CVUSD asthma information form from the school or the school district website.
02
Fill out the student's personal information including full name, date of birth, and grade level.
03
Provide details about the student's asthma diagnosis, including the date of diagnosis and severity.
04
List any medications the student is currently taking for asthma and their prescribed dosage.
05
Include information about the student's asthma triggers and symptoms, as well as any emergency action plans or medications kept at school.
06
Sign and date the form to certify that the information provided is accurate.

Who needs cvusd asthma information form?

01
Students attending schools within the Conejo Valley Unified School District (CVUSD) who have been diagnosed with asthma.
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The CVUSD asthma information form is a document used by the Conejo Valley Unified School District to collect essential information about students with asthma to ensure their health and safety while at school.
Parents or guardians of students who have been diagnosed with asthma are required to file the CVUSD asthma information form.
To fill out the CVUSD asthma information form, parents or guardians should provide the necessary personal details about the student, including their asthma condition, medications, and any treatment plans recommended by a healthcare provider.
The purpose of the CVUSD asthma information form is to ensure that the school is aware of students' asthma conditions and can provide appropriate support and emergency care when necessary.
The CVUSD asthma information form must report information such as the student's name, date of birth, details of the asthma diagnosis, any medications prescribed, emergency contact information, and instructions for managing asthma symptoms.
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