Asthma Review Form

Asthma Review
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Please use format day/month/year e.g. 12/05/1979

Your Asthma Review

Privacy Policy

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.

Please make a telephone consultation with the nurse to discuss your Asthma if feel eg.

  1. You are using your inhalers more than usual
  2. You are having symptoms despite using your inhalers
  3. You have any issues /questions regarding your asthma you would like to discuss

If you are experiencing a sudden change in your Asthma control, e.g. breathlessness, wheeze, persistent cough or chest pain please contact the practice for a telephone appointment.