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Get Figure 4 Sample Patient Self-assessment Sheet For

FIGURE 4. SAMPLE PATIENT SELFASSESSMENT SHEET FOR FOLLOWUP VISITS* Name: Date: Your Asthma Control How many days in the past week have you had chest tightness, cough, shortness of breath, or wheezing.

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  1. Click the Get Form option to start enhancing.
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  4. Ensure that the details you fill in FIGURE 4 SAMPLE PATIENT SELF-ASSESSMENT SHEET FOR is up-to-date and accurate.
  5. Include the date to the template using the Date tool.
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  8. Click Done in the top right corne to save and send or download the form. There are various alternatives for getting the doc. As an instant download, an attachment in an email or through the mail as a hard copy.

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