Asthma Forms and Resources

Nursing Forms

• 2018 Colorado Asthma Care Plan (PDF)
• Parent Asthma Intake - English and Spanish (Word - September 2016)
• Asthma Intake Form with highlights - English and Spanish (fillable PDF 2019)
• Asthma Training and Delegation Record (DOC) - inhaled medication
• Asthma/Allergy Self Carry Contract - English and Spanish (DOC)
• Is the Asthma Action Plan Working? (Exiting CDE - PDF)
• How Asthma Friendly Is Your School? (Exiting CDE - PDF)
• Management of Asthma if Student Does Not Have an Action Plan (Exiting CDE - PDF)
• Asthma Episode When a Nurse is Not Available (Exiting CDE - PDF)
• Asthma Care Plan Instructions (2010 - DOC)
• Asthma Care Plan Supplement – Training Handout (2010 - DOC)
• Assessing Student Readiness to Self Carry (PDF)

Guidelines

• Colorado Childhood Asthma Guidelines (2008-PDF)

Medications and Devices

• Asthma Medications
• Asthma Inhalers (PDF)
• Inhaler Technique Assessment Tool (2011 PDF)
• Priming and Care Guide for Inhalers (PDF)
• AeroChamber (large) (PDF)
• AeroChamber (small) (PDF)

Student and Family Education

• Quest for the CODE (PDF)
• Asthma Basics (PDF)
• Clear Your Home of Asthma Triggers (EPA) (PDF)
• Overview of Asthma Student Education Programs
• Kids Asthma Fast Facts (PDF)

Resources

• American Lung Association (Exiting CDE)
• Colorado Asthma Coalition (Exiting CDE)
• EPA - Indoor Air Quality in Schools (Exiting CDE)
• Health Team Works (CCGC) (Exiting CDE)
• National Jewish Hospita (Exiting CDE)