Dealing with Asthma at School

If your student has asthma, he/she may need medication while in school. A Medication Request and Agreement form should be downloaded and returned to the school for each medication your student may need during the school day.

If your student will use a nebulizer:
Please complete the Student Medication Request and Release Agreement form for the nebulizer, as well as the medications that would be provided in the nebulizer, and return the form to your school. An "Asthma Action Plan" is also needed for the use of a nebulizer unless it is ordered at a certain time daily. The medication will be kept in the school's health room.

Most elementary age students do not carry their own medication, but it can be kept in the classroom for easy access.  An adult can help your student know how long it has been since the medication was last used and can also alert you if your student is getting into trouble.

If you would like your student to carry their medication:
Please download the Contract to Carry / Self Administer Medication form and the Permission to Carry / Self Administer Medication form. This contract is between you, your student, physician and the School Nurse. We recommend that you have a back up inhaler that will be kept in the health room in case your student misplaces or forgets their medication and it is not available when needed.

Please be sure all medications have a pharmacy label with your student's name. Please label both the aero chamber and a peak flow meter if you are providing one. If the medication does not have a pharmacy label (i.e., it is a sample from the doctor), the nurse will need to label the inhaler for you so it can be used at school.

If your student has an "Asthma Action Plan" from their physician, please bring a copy of it to school. It is important for us to know what triggers your student's asthma and how to best treat it.

The School Nurse will review the forms and create a health care plan, if needed, to ensure that your child receives safe and effective care for their asthma while they are in school.

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In compliance with Titles VI & VII of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, Section 504 of the Rehabilitation Act of 1973, the Age Discrimination in Employment Act of 1967, the Americans with Disabilities Act, the Genetic Information Nondiscrimination Act of 2008, and Colorado law, the Douglas County School District RE-1 does not unlawfully discriminate against otherwise qualified students, employees, applicants for employment, or members of the public on the basis of disability, race, creed, color, sex, sexual orientation, marital status, national origin, religion, ancestry, or need for special education services. Discrimination against employees and applicants for employment based on age, genetic information, and conditions related to pregnancy or childbirth is also prohibited in accordance with state and/or federal law. Complaint procedures have been established for students, parents, employees, and members of the public. The School District's Compliance Officer and Title IX Coordinator to address complaints alleging sexual harassment under Title IX is Aaron Henderson, 620 Wilcox Street, Castle Rock, Colorado, [email protected], 303-387-0127.

Outside Agencies

Complaints regarding violations of Title VI, (race, national origin), Title IX (sex, gender), Section 504/ADA (handicap or disability), may be filed directly with the Office for Civil Rights, U.S. Department of Education, 1244 North Speer Blvd., Suite 310, Denver, CO 80204. Complaints regarding violations of Title VII (employment) and the ADEA (prohibiting age discrimination in employment) may be filed directly with the Federal Office of Equal Employment Opportunity Commission, 303 E. 17th Ave., Suite 510, Denver, CO 80202, or the Colorado Civil Rights Commission, 1560 Broadway, Suite 1050, Denver, CO 80202.


Special Education records which have been collected by Douglas County School District related to the identification, evaluation, educational placement, or the provision of special education in the district, must be maintained under state and federal laws for the period of five (5) years after special education services have ended for the student. Special education services end when the student is no longer eligible for services, graduates, or completes his/her educational program at age 21, or moves from the district. This notification is to inform parents/guardians and former students of Douglas County School District's intent to destroy the special education records of students who exited special education services as of June 30, 2016. These records will be destroyed in accordance with state law unless the parent/guardian or eligible (adult) student notifies the school district otherwise. After five years, the records are no longer useful to the district, but may be useful to the parent/guardian or former student in applying for social security benefits, rehabilitation services, college entrance, etc. The parent/guardian or eligible (adult) student may request a copy of the records by requesting the records at this link ( Douglas County School District Transcripts and Records Requests ).