Asthma – Walsgrave Health Centre

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NHS number

Asthma review

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Asthma control score

How many asthma exacerbations have you had in the past 12 months?(Required)

An exacerbation is where your symptoms got worse, your reliever did not help and you needed to seek medical attention (for more information follow this link)

Do you have any further information about your asthma that you feel is relevant to this review?

Please note that your answers will not be seen immediately and you should direct any urgent queries to your GP surgery.

Quitting smoking

Smoking leads to health problems such as cancer, heart disease and strokes. The benefits of stopping smoking include: better health, more money and cleaner air for those around you!

Do you want to stop smoking? Here is some advice on ways to quit smoking, local services and general tips: NHS quit smoking website

Who smokes in your household? (if patient is 19 years old or younger)

Name

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