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Asthma Forms

 

Anaphylaxis Action Plan
An Anaphylaxis Action Plan is an individualized disease management plan developed by a health care provider and the client/student with his or her family. The ND Anaphylaxis Action Plan, filled out in it's entirety, meets the requirement of ND Century Code Chapter 15.1-19 and can be used to document a students ability to possess and self-administer the emergency anaphylaxis medications in all ND schools.

Asthma Action Plan
An Asthma Action Plan is an individualized disease management plan developed by a health care provider and the client/student with his or her family. The ND Asthma Action Plan, filled out in it's entirety, meets the requirement of ND Century Code Chapter 15.1-19 and can be used to document a students ability to possess and self-administer the emergency asthma medications in all ND schools.

ND Asthma Action Plan Provider Desktop Guide - (Current Desk Guide not available)
The Provider Desk Guide is an instructional guide used to assist provider's in the diagnosis and treatment of asthma according to the National Institutes of Health Guidelines. This is a partner form to the ND Asthma Action Plan.

ND Law Fact Sheet

Parent Consent Form

Sample Parent Letter

Suggested In Service Info For All Staff