What is an Asthma Action Plan (AAP)?

The Centers for Disease Control and Prevention (CDC) states "All people with asthma should have an
Asthma Action Plan.  An Asthma Action Plan (also called a management plan) is a written plan that you develop with your doctor to help control your asthma."

The Asthma Action Plan (AAP) lists all medications with instructions on when they should be taken.  It is a simple plan that describes how to achieve long-term control and what to do when asthma symptoms arises. If you or your child do not have an AAP, please download and print one out below.  Bring it to your next medical appointment, so you and your provider can fill out the plan together.

Asthma Action Plan (Children)

Asthma Action Plan for 0-11 Years of Age (English and Spanish)

Asthma Action Plan for 12 Years of Age and Older (English and Spanish)


Asthma Action Plan (Adults)

Asthma Action Plan (Adults)

 
Asthma Action Plan in Other Languages

Chinese
Spanish
Vietnamese

 

Other Asthma Action Plans

CDC Asthma Action Plan

American Academy of Pediatrics (AAP) Asthma Action Plan

 

Asthma Forms

Asthma Medication and Authorization and Asthma Action Plan (July 2016)

Asthma Ready for School Asthma Checklist

Healthcare Provider Instructions for Completing the Asthma Action Plan

attention If you have a child in a Connecticut licensed day care facility, the Asthma Action Plan does not meet the requirements of Day Care Licensing Regulations for an authorization to administer medication. Please use the following Authorization to Administer Medication form.