My daghter attended pre-school last year at 3. My priority was to have her closeby. Then in emergency I could get there in a few minutes and take care of her myself. The director was not intimidated by the diagnosis at all. I gave them a brochure and doctor letter and explained what to look for and to call immediately. I was very cautious-anytime she did not feel well I just didn't send her. She still made it the majority of the time. During cold/flu season, I finally made up a kit with her injectable and the accessories for them to keep at the school. I also had a cell phone. If I was doing a local errand, they could reach me and the meds would be right there. I never needed to use the kit. (I did have to inject her at home a few times however for viruses mostly). Now I finally have the medic alert bracelet, so I feel better. Also for added support, I called the local rescue unit director. A meeting was set-up with our county-wide Rescue unit Director, an M.D. She in-serviced the local rescue volunteers on CAH and symptoms in an emergency. She also authorized the Advanced EMT's to inject my daughter upon arrival, if her caregiver called 911. They would still transport her to the hospital, but at least she would get that injection. This new "pediatric protocol" would also help other children requiring medication in an emergency. I feel better prepared for pre-school this year, and feel the pathway paved for elementary school. Good luck!