Asthma: Additional Participant Information 2024

Health History Information: Asthma

Since you selected “Yes” under Asthma on the Participant Online Enrollment form, we ask that you complete this form in consultation with your participant and his/her/their physician.

You may attach additional information as necessary, including medication orders and details about your participant’s asthma history. Complete this form no later than May 1st.

We thank you for helping us plan your Workshop by filling out this important form. The more information we know about you before you arrive, the better your experience will be once you arrive in Portland.

If you have questions or concerns, please email (firacres@lclark.edu) or call us at 503-768-7932 and we will do our best to answer your questions.

About Fir Acres Writing Workshop and Asthma:

1. Activities will take place indoors and outdoors, in urban and wooded suburban settings. Exposure to trees, grasses, dust, pollens, molds, bee stings, insect bites, and other environmental factors can be expected.
2. Participants using an “as needed” inhaler and/or injectable epinephrine (e.g., EpiPen®) should carry their device on their person at all times, and be responsible for self-administration as needed. Please place participant’s initials on the inhaler or/EpiPen.
3. Fir Acres does not have a registered nurse in residence. The registered nurse is “on call” and will meet with participant on registration day. 
4. Participants may be transported if necessary to urgent care or emergency department services, approximately 15 minutes by road from the College.
5. Workshop staff anticipate that participants with asthma are capable self-managers and that they know when to use their medication or to amend any activities to support their health.