Use this service to submit a routine review of a child’s asthma.
You can use this service if:
- you are registered at the surgery
- you have been invited to do so
- the patient is aged 4 to 11
Before you start
We’ll ask you for:
- your first and last name, date of birth, sex, postcode, email and phone number
- the details of the child you are completing the form on behalf of
- information about the child’s asthma
- a peak flow reading
- the child’s height and weight
- any history of exposure to second hand smoke
You can also phone us on Broad Lane 02476 466 583 or City of Coventry 03333 324 555 or Stoke Aldermoor 024 7623 3940 or Foleshill 02476 707 030.