
Modified from The Raymond A. Wood Foundation “Back to School Safety for Students with Adrenal Insufficiency”
Starting school can be stressful for any child—but for students with adrenal insufficiency, careful planning is essential. Without quick intervention, everyday situations like fever, vomiting, or extra physical activity can become serious emergencies.
Key Tips for a Safe School Year
Share an Emergency Plan
- Work with your child’s doctor to create a clear adrenal crisis action plan.
- Make sure all teachers, the school nurse, and staff know the warning signs and what to do.
Train School Staff
- Arrange a brief training before or at the start of the school year for staff who interact daily with your child.
- Practice using an emergency hydrocortisone kit so staff feel confident acting quickly.
Keep Medication Accessible
- Emergency hydrocortisone should be stored in several locations—nurse’s office, and your child’s classroom
- If your child is old enough and has been trained, consider self carry options if allowed by school policy.
Prepare for Illness and Activities
- Explain how medication doses might change during sickness or physical activity.
- For field trips and extra-curricular activities, confirm who will carry the emergency kit and be responsible for administering medication if needed.
Empower Your Child
- Teach them to recognize symptoms early and ask for help.
- Simple phrases to explain their condition can help them communicate confidently.
Keep Communication Open
- Check in regularly with school staff and update them if medication or instructions change.
School should be a place where every child, including those managing adrenal insufficiency, can feel safe, supported, and ready to learn. With proper planning, communication, and support, students with adrenal insufficiency can have a safe, successful, and worry-free school year.

