NMDOH Logo
RSS Feed Icon

Forms


Photo of the publication cover. Asthma Pictorial Action Plan Asthma - Form February 12, 2019

The pictorial asthma action plan is a patient education tool intended to supplement the asthma action plan. It is designed to engage children and families in asthma self-management and improve overall measures of asthma control.

Plan Gráfico de Acción de Asma



Photo of the publication cover. Asthma Action Plan for Schools Asthma - Form February 12, 2019

This action plan form was created by the New Mexico Council on Asthma (NMCOA) for school nurses, health care providers and families. It allows for an individual action plan to be developed for each student to ensure proper handling of asthma based on severity.

Plan de acción contra el asma para las Escuelas



Photo of the publication cover. Asthma Data Request Form Asthma - Form October 10, 2017

This form is used to collect the most recent asthma related data critical for policy development and program planning in the state.