Our son just started at a private school this fall. They have a nurse on staff who gives him his noon meds. We decided not to ask her to give an injection. I carry a cell phone and can be reached at all times. We live in a large metro area with several hospitals within 10 minutes. He wears a med alert bracelet. We instructed the school to call me immediately if he vomits or has a fever.  They are to call an ambulance and me for broken bones (as they would with any child). The EMTs in our area do not carry solu-cortef but they will give it if he carries it and they can confirm orders with his endo (via his med alert bracelet)

After some negative preschool experiences, we decided to play elementary school very low-key. We explained he has an adrenal condition, he takes meds daily, and needs special care during times of fever, vomitting or broken bones. We made sure to mention on his application that his condition does not affect his ability to learn or socialize. We included this because many private schools do not have the resources to hire para’s. This approach has worked well for all of us.

p.s. I should also mention he seems to have relatively mild CAH - or that is what we have found - not sure if the medical community would say that is possible. He has had several accidents, including cracked skull, stitches, knocked-out teeth etc. He has come through them all fine.