A Virginia Asthma Action Plan (VAAP) must be completed each school year. The VAAP permits a student with a diagnosis of asthma to possess and self-administer inhaled asthma medications during the school day, at school-sponsored activities, while on a school bus, during any Prince William County Public Schools extended day or overnight field trip, at school age child care (SACC), or other school property provided the following conditions have been satisfied:
  1. A VAAP must be completed and signed by the parent/guardian and health care provider each school year dated after May 1 of the previous school year. A health care provider may use office stationary or a prescription pad in lieu of completing a VAAP. The following information must be written on the document in lay language with no abbreviations:
    1. Student name and date of birth;
    2. Date of order;
    3. Duration of medication order and effective dates;
    4. Reason for medication or diagnosis;
    5. Name of medication;
    6. Exact dosage to be taken in school;
    7. Time to take medication and frequency or exact time interval dosage is to be administered;
    8. If medication is given on an as-needed basis, specify the exact conditions or symptoms when medication is to be taken and the time at which it may be given again (repeat as necessary is unacceptable);
    9. Statement that the student may self-carry and self-administer; and
    10. Health care provider's signature and date.
  2. It is recommended that all students with a diagnosis of asthma provide a VAAP and asthma medication to the school health office and/or SACC (if applicable) even if the medication is not administered or indicated during the school day or during SACC. The VAAP provides vital information in the event of an emergency due to asthma or other allergies.
  3. Medication must be in the original container with a prescription label attached. Pharmacy/health care provider samples must be appropriately labeled by the health care provider to include the information stated in Section I.
  4. The school/SACC may withdraw permission to possess and self-administer the said asthma medication at any point during the school/SACC year if it is determined the student has abused the privilege of possession and self-administration or that the student is not safely and effectively self-administering the medication.

Click on Required Forms Below

Authorization To Implement Health Treatment Plan
VA Asthma Action Plan