Request for Self-Administration of Asthma Medication 7.270 F2

Public Act 097-0361 states that students who have been diagnosed with asthma and prescribed asthma medication be permitted to carry and independently administer the medication, where appropriate. Pursuant to Illinois School Code, (105 ILCS 5/22-30), this form must be completed, signed by the parent/guardian, and submitted to the school office on an annual basis, at the beginning of each school year. The form will be kept on file in the office of the school nurse.

Request for Self-Administration of Asthma Medication 7.270 F2