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Download TakeAction! Medical Forms

The TakeAction! program has developed eight forms for nurse and physician use. Please download, use, and distribute these forms freely.

Asthma Medical Forms
Asthma Action Plan
1 page document
Is the Asthma Action Plan Working?
First Aid for Exercise Induced Asthma
Nurse's Worksheet: Asthma
Case Management Form: Asthma
Letter to Physicians Medical Form PDF

Diabetes Medical Forms
Section 504 Plan: Diabetes
Diabetes Medical Management Plan