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my asthma | |
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my medications | |
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pills & inhalers | |
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five things you should know | |
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peak flow meter | |
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asthma action plan | |
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my lifestyle | |
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my child's asthma | |
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my allergies | |
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my recent attack | |
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asthma action plan Below is an example of a form that can be printed and used to record your Asthma Action Plan. Only someone from your healthcare team can provide the information necessary to complete this form. Be sure to take it with you the next time you visit your doctor's office. Click here to print the green zone of the Asthma Action Plan. Click here to print the yellow zone of the Asthma Action Plan. Click here to print the red zone of the Asthma Action Plan. Asthma Action Plan for:___________________________________ Date: _________________________________________________ Healthcare Professional’s Name: ___________________________ Healthcare Professional’s Phone Number: ____________________ Hospital/Emergency Room Phone Number: ___________________ |
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