Nurse Heidi Nielsen » Asthma

Asthma

 

The following forms need to be completed by a guardian and the student’s healthcare provider for students who have asthma or need asthma care in the school setting:

 

  • Montana Student Asthma Action Plan
  • Montana Authorization to Possess or Self-Administer Asthma Medication
  • Consent for Exchange of Information (for coordination of asthma care with provider)

 

The forms are attached below. Once the forms are completed and signed, please be sure to return them to the student's school, or mail them to the school nurse at 515 Main Street; Anaconda, MT 59711.