• Reviewed on 6/09
    By Dr. Tinkelman

Pediatric Asthma: Summer Fun Action Plan


Personal & Doctor Info    
Name:    
Doctor's Name: Phone #:  
     
Medication
    
Name: Dose Take When:
Name: Dose Take When: 
Name: Dose Take When: 
Name: Dose Take When: 
     
Emergency Contacts    
Name: Telephone: Relationship:
Name: Telephone: Relationship:
     
Emergency Department    
Hospital/Clinic: Phone #: Address:
Hospital/Clinic: Phone #: Address:
     
Pharmacy Information    
Name: Phone #:  
Name: Phone #:  


Download the printable version of the Summer Fun Action Plan (pdf).


 

NEXT: Getting Ready for FallBACK: Asthma Action Plan

Asthma Programs

At National Jewish Health, we offer a range of treatment programs to meet the specific needs of pediatric patients with mild to severe asthma.

Learn more.