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Maryland State Department of Education
Office of Child Maratha ACTION PLAN AND MEDICATION ADMINISTRATION AUTHORIZATION FORM
1. CHILD\'S NAME (First Middle Last)2. DATE OF BIRTH (mm/dd/YYY) ___/___/___3.
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How to fill out asthmaaction plan and medication

How to fill out asthmaaction plan and medication
01
Consult with your healthcare provider to create an asthma action plan tailored to your specific needs.
02
Make sure to include triggers, warning signs, and steps to take during an asthma attack on the action plan.
03
List all the medications prescribed by your healthcare provider, including dosage and frequency of use.
04
Keep the asthma action plan and medications in a readily accessible place, such as a purse or backpack.
Who needs asthmaaction plan and medication?
01
Those diagnosed with asthma by a healthcare professional.
02
Individuals who experience symptoms such as wheezing, coughing, shortness of breath, or chest tightness.
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What is asthma action plan and medication?
Asthma action plan is a written document that details how to manage asthma symptoms and medication prescribed to control asthma.
Who is required to file asthma action plan and medication?
People diagnosed with asthma are required to have and follow an asthma action plan and medication as prescribed by their healthcare provider.
How to fill out asthma action plan and medication?
Asthma action plan and medication should be filled out with the help of a healthcare provider who will provide instructions on how to properly use the medication and manage asthma symptoms.
What is the purpose of asthma action plan and medication?
The purpose of asthma action plan and medication is to help individuals manage their asthma symptoms, prevent asthma attacks, and maintain good lung health.
What information must be reported on asthma action plan and medication?
Asthma action plan should include information on medication dosage, frequency of use, triggers to avoid, emergency contact information, and steps to take in case of an asthma attack.
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