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Asthma

Asthma Action Plan

Please complete the above Asthma Action Plan if your child has been diagnosed with asthma. New Jersey state law requires students who have been diagnosed with asthma to have an Asthma Action Plan on file with the school nurse. 

This plan must be updated annually, at the beginning of each school year.

Please be aware:

  1. The medication provided must be contained in the original dispensing packaging and be labeled with a valid pharmacy label.
  2. The Asthma Action Plan must be completed and signed by your child's healthcare provider (please encourage the provider to check off the student's triggers listed on the right side of the Asthma Action Plan).

Please ensure to provide any additional component needed for medication administration, i.e. a chamber/spacer or mouthpiece/mask.

For more information on asthma management in schools, please visit the CDC Healthy Schools web page.

For more information on asthma, please visit the CDC asthma web page.