Asthma Review

For patients only using BLUE INHALERS.

If you have been advised by the surgery to submit an annual review of your asthma symptoms please use this form. If your symptoms are deteriorating or you are having any concerns please make an appointment with our Nurse.

To ensure you are using your inhaler correctly please visit www.asthma.org.uk

About You

Please use this date format: DD/MM/YYYY.

Your Asthma Review

For patients only using BLUE INHALERS
Please make a routine telephone appointment with your asthma nurse. You do not need to submit a review form.
Please make a routine telephone appointment with your asthma nurse. You do not need to submit a review form.
Please make a routine telephone appointment with your asthma nurse. You do not need to submit a review form.
Please make a routine telephone appointment with your asthma nurse. You do not need to submit a review form.
Please make a routine telephone appointment with your asthma nurse. You do not need to submit a review form.
Please make a routine telephone appointment with your asthma nurse. You do not need to submit a review form.

Please note that the details you give will be used to update your medical records.