Illinois Asthma Action Plan

Illinois school code now requires schools to request an Asthma Action Plan for each student with asthma. Click on the link above to open the Asthma Action Plan form. The doctor, nurse practitioner or physician's assistant that manages your student's asthma can complete this form or use their own form. Once completed and signed by the parent or guardian, the form must be submitted to the Nurses' Office, Health Services Department, in one of the following ways. 

By Mail:
Evanston Township High School
Health Services, Room N121
1600 Dodge Ave
Evanston, IL 60202

By Fax:  847-424-7254

Scan and email to:

Drop Off In Person: Forms may be dropped off to the Nurses' Office, Health Services Department, Room N121 during the hours listed on this page. Forms may also be dropped off at either Entrance #1 or Entrance #2 (please use an envelope marked "Health Services").

Asthma Action Plan.pdf, 122.11 KB; (Last Modified on June 29, 2017)