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Get and Sign Asthma Instructions Form
YOUR PRIMARY DOCTOR—CALL TO MAKE AN APPOINTMENT TO BE SEEN WITHIN _____ DAYS.
• If you have trouble making an appointment, ask to speak
to the office nurse.
• At the follow up appointment:
❑ Bring all of your medications and this plan with you.
❑ Make an asthma action plan with your doctor that you
can follow every day to keep your asthma under control.
❑ Write down your questions and your doctor’s answers.
• If you do not have a primary care doctor call
to get one.
This will make your...
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