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Charlotte-Mecklenburg Schools Asthma Action Plan/Medication Authorization Form

Asthma Action Plan / Medication Authorization form for all children with asthma to use in Charlotte-Mecklenberg Schools.

This Asthma Action Plan helps identify triggers of asthma, evaluate the severity of symptoms associated with asthma, and the available actions to take to relieve those symptoms.  

This resource also provides a form for Authorization for Self-Medication by CMS Students.  Eligible students may be able to self-administer medications with physician, school nurse, and parent/guardian approval.  

Contact Name: 
Kelly Reeves
Contact Email: 
Kelly.reeves@carolinashealthcare.org
Resource Category: 
Language: 
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Allies Against Asthma Context Survey

The Context Survey can be used to conduct a semi-structured interview to collect both quantitative and qualitative information about coalition structure and functioning and the focus of coalition efforts. It also gathers information about the social, cultural and political environment of the community in which the coalition operates. The survey can be administered to coalition members and staff as a telephone or face-to-face interview.

The Context Survey can be used to conduct a semi-structured interview to collect both quantitative and qualitative information about coalition structure and functioning and the focus of coalition efforts. It also gathers information about the social, cultural and political environment of the community in which the coalition operates. The survey can be administered to coalition members and staff as a telephone or face-to-face interview.

 

File Attachment: 
Contact Name: 
Gillian Mayman
Contact Email: 
gmayman@umich.edu
Resource Category: 
Language: 
Literacy Level: 

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