Name: Asthma Action Plan
SKU: 208253
Price: 31.99 AUD
Availability: InStock
Rating: 4.7 (7759 reviews)

Welcome to your online assessment with Qoctor
It’s very important that you read all the questions thoroughly and answer carefully
Are you ready to start the online assessment?*
- Yes
- No

"Thanks for visiting Qoctor.
First, we need to go through a few questions.
This will take 3-5 minutes, depending on your needs."
So, you are the parent or guardian of a child who has asthma and needs an asthma action plan for their school or childcare provider?*
- Yes
- No
Who is the Asthma Action Plan for?
ORAdd new person requiring action plan
Family member added :
Please enter the name of the person being cared for
Has your child been diagnosed with Asthma by a GP or specialist?*
- Yes
- No
Which of the following symptoms does your child typically experience when they have asthma?*
Select as many as apply
- Cough
- Wheeze
- Difficulty breathing
- Other
Please provide details here:*
How often does your child experience asthma?*
- Daily/most days
- Frequently (more than 5 times per year)
- Occasionally (less than 5 times per year)
- Other
Please provide details here:*
Does your child have any known triggers for their asthma?*
Please select any of the following that apply.
- Exercise
- Dust
- Viral illnesses/common cold
- Pollen
- Smoke
- Other
- Unknown
Please provide details here:*
Does this child usually tell an adult if they are having trouble breathing?*
- Yes
- No
Does this child need help to take asthma medication?*
- Yes
- No
Does this child use a mask with a spacer?*
- Yes
- No
*
Does this child need to take a blue/grey “reliever” puffer medication before exercise?
- Yes
- No
Most individuals, including children, with asthma use a blue puffer (also known as salbutamol or ventolin), 2 puffs as required, through a spacer. Is this what your child usually takes?*
- Yes
- No
Does your child need to be given any other inhalers or medications for treatment of their asthma at school?*
- Yes
- No
Please type the names of any additional inhaler(s) in the following field:
Name of inhaler/medication & Colour of inhaler Usual dose (number of puffs) Time required
Please add the name of the parent/guardian who will sign this action plan?*
Please add the name of the person to be contacted by school/childcare provider in the case of emergency
Name*
Landline/Phone number
Mobile number*
Email*

If your child has poorly controlled asthma, it is very important that you see a doctor in person, for assessment, as soon as possible. Poor asthma control can cause significant long term health problems, and can sometimes be life-threatening. If unsure, click here to find out more about well controlled asthma.
Is your child’s asthma well controlled at present?*
- Yes
- No
Has your child had 2 or more hospitalisations with asthma in the past 12 months?*
- Yes
- No
Qoctor follows an Asthma Action Plan recommended by Asthma Australia, which includes a section on asthma first aid. Whilst the action plan is to be used by school/childcare, it is very strongly recommended that parents/guardians also familiarise themselves with the section on asthma first aid, and discuss it with their child where appropriate.
Do you understand and agree to this?*
- Yes
- No
Please select a time slot for your video consultation from the drop-down menu below

I confirm that*
○ I am 18 years old or over.
○ I am in Australia and my profile (if previously registered) is up to date
○ I understand any treatment/advice that is prescribed is in accordance with information I have provided to Qoctor. Qoctor therefore takes no liability for loss or damage arising from services if I have supplied incorrect or incomplete information.
○ Any treatments or advice are to be used by me only
- Yes
- No
I confirm that*
○ I understand the limitations of an online consultation
○ I am aware that this may not replace the need for a face to face consultation and examination with my GP
○ If I have any concerns about any aspect of my health I will consult with my regular GP
○ I take responsibility for informing my GP of this consultation and any subsequent health issues
○ I understand Qoctor is not liable for damages which arise from my failure to inform my GP or other healthcare professional about treatment I receive from the website
○ I agree to the website privacy policy and terms and conditions
- Yes
- No

Please complete payment and then choose your appointment time.

The following times are available to book a consultation.
Please complete the following steps:
1. Purchase the consultation from the shopping cart
2. Select and confirm your telehealth consultation time
3. Click on the sms or email link 15 minutes prior to the start of your consultation time
4. The doctor will call you on the video link during your chosen time slot

Asthma Action Plan

"Thanks for visiting Qoctor.
First, we need to go through a few questions.
This will take 3-5 minutes, depending on your needs."

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Asthma Action Plan

"Thanks for visiting Qoctor. First, we need to go through a few questions. This will take 3-5 minutes, depending on your needs."

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"Thanks for visiting Qoctor.
First, we need to go through a few questions.
This will take 3-5 minutes, depending on your needs."