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Sample Letter to Physician from School
Dear __________________:
_______________________________ (school) is excited about the upcoming school year and looking forward to helping your patient, _____________, (child’s name) enjoy a successful year.
This year, our school is participating in Peak Performance USA, a national student asthma management and education program initiated by the American Association for Respiratory Care.
This program and our regular school health services will provide the following:
- Access to the school nurse
- Help for students with asthma in following their Asthma Action Plans
- Asthma education for all students in grade(s) ______
- Asthma in-service training for all school staff
- Indoor Air Quality (IAQ) Tools for Schools to promote a healthy environment
We need your help to provide the best possible asthma management for your patient while in school. We need your assistance with the following:
- Complete the enclosed Asthma Action Plan or provide comparable information on another form and return to us at school.
- Complete the enclosed Medication Administration form for any medications that may need to be administered in school and return it to us at school. (Students may self-carry and administer their quick-relief medications if you and the parents or guardians indicate approval on the form).
- Inform us of any additional patient needs.
Please let us know if you need information on the child’s educational rights and responsibilities (Individuals with Disabilities Education Act [IDEA] and Section 504 of the Rehabilitation Act of 1973) for your patients.
We look forward to working with you to help this student have a successful school year. Thank you.
Sincerely,
Principal (signature) School Nurse (signature)