Asthma Action Plan

Clinic: CHAMP                                                  

Phone Number: 901.287.6100 (24/7 line) / 901.305.1891 (cell)

Asthma Triggers: ____________________________________________________

Daily Controller:

Flovent (Fluticasone) 220mcg      (  ) 1 puff  (  ) 2 puffs            (  ) once a day (  ) twice a day

 ________________________     _______________________      ________________________