Asthma Medication Administration Form 2022-2023
This form is essential for proper asthma management in schools. It allows parents to give consent for their child's medication administration during school hours. Completing this form ensures the school nurse has accurate information to keep your child safe.
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How do I fill this out?
To fill out the form, start by entering the student's personal information including their name, birth date, and OSIS number. Next, provide the diagnosis and control level of the asthma condition as per the NAEPP guidelines. Finally, ensure that the healthcare practitioner's details are correctly entered and all sections are completed before submitting.

How to fill out the Asthma Medication Administration Form 2022-2023?
1
Obtain the Asthma Medication Administration Form.
2
Fill in the student's personal information accurately.
3
Have the healthcare practitioner complete the necessary sections.
4
Review the form for completeness and accuracy.
5
Submit the form to the school nurse before the deadline.
Who needs the Asthma Medication Administration Form 2022-2023?
1
Parents or guardians of students with asthma.
2
Students who require medication during school hours.
3
School nurses who need clear directives for medication administration.
4
Healthcare practitioners managing asthma treatment.
5
School administrators seeking to maintain compliance with health regulations.
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What are the instructions for submitting this form?
To submit the Asthma Medication Administration Form, please return it to the school nurse directly. You may also fax it to the provided number on the form or email it directly to the school health office. Ensure you submit the form before June 1st to allow for timely processing of your request.
What are the important dates for this form in 2024 and 2025?
Forms should be submitted before June 1st for the next school year. Ensure your submission is timely to avoid delays in processing your child's medication orders.

What is the purpose of this form?
The purpose of the Asthma Medication Administration Form is to collect essential information from parents and healthcare practitioners regarding a student's asthma treatment plan. This form ensures that school health staff can safely administer necessary medications during school hours. By having accurate and complete information, the school nurse can effectively respond to asthma-related emergencies and monitor the student's condition.

Tell me about this form and its components and fields line-by-line.

- 1. Student Personal Information: Includes fields like name, date of birth, and OSIS number.
- 2. Diagnosis and Control: Details about the type of asthma and its current control status.
- 3. Healthcare Practitioner Info: Contact information and signature from the student's healthcare provider.
- 4. Medication Orders: Specifics on prescribed asthma treatments and dosages.
- 5. Emergency Instructions: Guidelines for action in case of an asthma emergency.
What happens if I fail to submit this form?
Failure to submit the Asthma Medication Administration Form can lead to significant delays in a child's asthma care at school. Without this form, schools may not be able to provide necessary medications, which can result in critical health risks during asthma episodes.
- Medication Non-Administration: Without the form, the school may not administer lifesaving asthma medications.
- Increased Health Risks: Not having proper medication can increase the risk of severe asthma attacks.
- Compliance Issues: Schools may face compliance issues without required documentation.
How do I know when to use this form?

- 1. New School Year Enrollment: Complete the form for new students or returning students needing medication.
- 2. Medication Changes: Submit a new form when there are adjustments to asthma treatment.
- 3. Emergency Preparedness: Ensure the school has a current form on file for emergency situations.
Frequently Asked Questions
How do I edit the Asthma Medication Administration Form?
To edit the form, simply upload it on PrintFriendly's platform, use the editing tools to make your changes, and then download the updated version.
What should I include when filling out the form?
Ensure to include the student's personal information, asthma diagnosis, and healthcare practitioner's instructions as required.
Can I share the completed form with others?
Yes, once the form is complete, you can easily share it via email or other methods directly through PrintFriendly.
Is it possible to sign the form digitally?
Absolutely, PrintFriendly offers a digital signing option that allows you to sign the document electronically.
What happens if I submit an incomplete form?
Submitting an incomplete form may delay processing, potentially impacting your child's asthma management at school.
How do I know if my form was submitted correctly?
You can follow up with the school's health office if you don't receive confirmation after submitting the form.
What if I need to make changes after submission?
If changes are needed, contact the school nurse as soon as possible to discuss the necessary adjustments.
How often do I need to fill out the form?
The form should be filled out at the beginning of each school year or when there are changes in medication or treatment plans.
Where can I access the form?
The Asthma Medication Administration Form can be accessed and downloaded from your school's health office website.
Is there a deadline for submitting this form?
Yes, forms should be submitted before June 1st to avoid delays in processing.
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