Asthma care specialist referral checklist

Do you:

• Have asthma symptoms every day and often at night that cause you to limit your activities?

• Not meet the goals of your asthma treatment after three to six months, or are not responding to your current treatment?

• Have symptoms that are unusual or hard to diagnose?

• Experience co-existing conditions such as severe hay fever or sinusitis that complicate asthma or its diagnosis?

• Feel you need more tests to find out more about their asthma and the causes of symptoms?

• Need more help and instruction on treatment plans, medicines or asthma triggers?

• Want more information about being helped by allergy shots?

• Need oral corticosteroid therapy or high-dose inhaled corticosteroids?

• Need help to identify asthma triggers?

Have you:

• Taken oral corticosteroids more than twice in one year?

• Stayed in a hospital because of asthma?

• Had a diagnosis of asthma that is in doubt?

• Had a life-threatening asthma attack?

If you answered “yes” to any of the questions above, ask your doctor to refer you to an Asthma Care specialist. Once you have been evaluated, a referral to an allergist, immunologist or pulmonologist may be offered if deemed necessary.