Utilize this form if your child has a history of asthma, reactive airway disease or needs a "rescue" inhaler.
This form requires the signature of your child's health care provider.
Please have this form completed and handed into the school nurse prior to the start of school. If you would like to sit down and review this plan, please call 715-854-2721 x347 or e-mail directly to ckubicek@crivitz.k12.wi.us.
