Tompkins County Health Department
Getting Serious About ASTHMA
 

Asthma Action Plan

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.