This Asthma History Form was developed by Dr. Micheal Lustig at Riverside Health System in Newport News Virginia. The form offers 2 pages for documenting the asthma CC and history. The first page uses drop downs and edit fields to document the HPI and Chief Complaint. The second page uses visibility and check boxes to quickly document respiratory Sx, triggers, impact and medication use. Dr. Lustig has also included fields to document home peak flow and personal best flow.

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