For patients who are due an annual asthma review
The form below is to confirm that your asthma is stable and controlled. If this is not the case, then you will need to attend a 'face to face' asthma consultation at the practice, to renew your medicine.
Please would you answer ALL the questions on the form (below) and submit it to us at firstname.lastname@example.org or hand in the completed form at our reception.
If your symptoms are deteriorating or you have any concerns, please make an appointment to the respiratory nurse or a doctor as well.
It is really important to have good oral hygiene with inhaler use. If you are not sure about this, please ask.
The Asthma Review form is currently being updated