Get Tx Asthma Action Plan 2007-2025

The TX Asthma Action Plan is a vital document that assists individuals in managing their asthma. This guide provides clear, step-by-step instructions on how to fill out the form online, ensuring you can effectively communicate your asthma management needs.

Follow the steps to complete your TX Asthma Action Plan online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the date at the top of the form to ensure it reflects the current date of completion.
3. Provide the patient's name and date of birth clearly in the designated fields.
4. Indicate the patient's school grade, if applicable.
5. Complete the predicted normal peak flow reading, which is essential for monitoring the patient's asthma control.
6. Select the asthma classification by marking the appropriate box that best describes the patient's asthma severity.
7. Document the frequency of symptoms experienced during days and nights to provide a clearer picture of the patient's condition.
8. In the Green Zone section, list all prescribed preventive medications and their doses as well as note whether exercise-induced asthma is a concern.
9. In the Yellow Zone section, specify the quick-relief medications to be used during an asthma exacerbation and note the circumstances requiring their use.
10. In the Red Zone section, indicate what quick-relief medication should be administered in case the patient’s asthma worsens and outline the signs that warrant immediate action.
11. Collect the signatures from the physician and the parent, ensuring all contact information is accurate.
12. Once completed, save changes, download the form for personal records, or print a copy for distribution.

Start managing your asthma proactively by filling out the TX Asthma Action Plan online today.