Haines Home  Mrs. Barbara Caruso Teacher Home
email phone ext. 8534   Nurse's Office Panther since '81
allergy letters &forms asthma medication sheet sports physicals sun, tick, & Lyme info disclaimer

 

 

 

 Asthma

If your child has Asthma or Reactive Airway Disease and will have to use an inhaler or nebulizer in school,
you will need the following forms

 
Asthma Action Plan Parent Letter  
   
Parent/Guardian Asthma Questionnaire ~ Please fill out and return with Asthma Action Plan
 
Asthma Action Plan ~ Please have your physician fill out the plan and sign the  back.  Parent signature is also required on the back.