Asthma Action Plan (Eng-PDF)

Type: Asthma
Price: Free


Everyone with asthma should have a written Asthma Action Plan. This plan has information and instructions on how to manage your asthma. It has sections for information about medicines, how to know when your symptoms get worse and what to do in an emergency. If you do not have an Asthma Action Plan, download and print this form. Take it to your doctor and have them fill it out for you. Asthma Action Plans also tell school staff and other caregivers about your child’s asthma. You can give it to teachers, school nurses and after-school care staff.

This is the English version of this handout. You can find the Spanish version here.

If you are a health care provider and would like to integrate this with your electronic medical records system as digital, fill-in form, please Contact Us.

*Please choose a quantity of 1 when ordering a free PDF download. A link to download the PDF will be included in your receipt email sent after checkout. You will then be able to print multiple copies from that download.

Note: The PDF reader on some mobile devices prevents viewing these documents. If you are having trouble, please download and view on a computer with the latest version of  Adobe Acrobat Reader®.


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