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Asthma Forms and Resources

Asthma Forms and Resources


The Illinois School Code 105 ILCS 5/22-30 requires D29 to request an Asthma Action Plan from parents/guardians of students with asthma each school year.

The Asthma Action Plan must contain:

  1. Instructions from your child's health care provider for the school to follow in the event your child experiences complications related to asthma while at school. You may elect to use this ASTHMA ACTION PLAN or one from your own health care provider.
  2. Information about any prescribed asthma medication to be used at school, such as an asthma inhaler.
  3. In addition to the action plan, please complete the MEDICATION AUTHORIZATION FORM and return it to school. The health care provider should indicate on these documents if your child may carry and self-administer the medication. 

These documents require a signature from both the health care provider and the parent/guardian. Bring the completed and signed document(s), along with any prescribed medication to be kept at school, to the health office.  To discuss your child's asthma with the school nurse, call (847) 881-9503.