Asthma Register | Woodridge College and Prep | Medical History

Please complete this form only if your child is asthmatic. Please complete one form per child if you have more than one child that suffers from the condition.

Email Address Child's Name Child's Surname Child's Grade Student type (day scholar or boarder) My preventative inhaler is called... My reliever inhaler is called... Does doing sport make it hard for your child to breathe? If you answered yes, above please include the dosage instruction of the reliever and maintenance pump eg Foxair 50/250, 1 puff per day Please provide us with a list of triggers for our child's asthma submit

ASTHMA Medical Register