Forms
Asthma Champions Funding Announcement - Fillable
Asthma - Form
January 7, 2022
Asthma Champions Funding Announcement - Fillable
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.
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.
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.