An asthma action plan is a written strategy to manage an individual’s
asthma.
Every person who needs daily medication to control asthma should
have an asthma action plan. If it is for a child, there should
be a copy for the parent, the school or daycare provider and
any other person providing care of the child.
An asthma action plan should clearly state the daily plan to
follow when asthma is under control. It should define asthma
control and identify symptoms that signal an asthma episode.
It also should give instructions for care during an asthma episode.
An asthma action plan gives directions for daily control medications
and for quick-relief medication.
Asthma
Action Plan Downloads
PDF (AsthmaPlan_hpctc.pdf, 207K)
MS Word interactive
form (AsthmaPlan_hpctc.dot, 235K)
The interactive Word document
template has fillable form fields allowing a provider to complete
the form on an office Windows-based PC. Use "File >
Save As" to save a completed form with patient's information.
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