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Get the free Download the Asthma Action Plan Form - Virginia Asthma Coalition

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Virginia Asthma Action Plan School Division: Name Date of Birth Health Care Provider s Phone # Parent/Guardian Parent/Guardian Phone Parent/Guardian Email: Additional Emergency Contact Phone Contact
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The asthma action plan is a written document that outlines how to manage asthma on a day-to-day basis and how to handle worsening asthma symptoms.
Individuals diagnosed with asthma, especially those with moderate to severe asthma, are required to have and follow an asthma action plan.
An asthma action plan can be filled out by a healthcare provider in collaboration with the individual with asthma. It typically includes sections on daily management, asthma triggers, medications, and emergency response.
The purpose of an asthma action plan is to help individuals with asthma effectively manage their condition, recognize worsening symptoms, and respond appropriately to prevent asthma attacks.
The asthma action plan should include information on the individual's asthma triggers, daily medications, peak flow readings, symptoms to watch for, and steps to take in case of an asthma attack.
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