Asthma Resource Order
Form
Send me the following (indicate quantity and language):
The following are available in English and French:
___ Asthma Package (a full compliment of our program resources )
___ NEW Asthma Action Handbook (booklet with tear off action plan)
___ NEW Asthma in Children(includes tear off diary card for parents)
___ NEW Puff’R Comic Book
___ NEW Questions and Answers on Asthma
___ Asthma Action Fact Sheet Series (15 Fact Sheets)
___ Asthma Action Helpline Refrigerator Magnets
___ Asthma Active (activity book for children 7-12 years)
___ Asthma in Pictures (8 page pamphlet)
___ Call Me Brave Boy (picture book for children 2-6 years)
___ Easel Display Board with HelpLine Tear-Off Sheets
___ Pamphlet - Is Your Asthma Under Control?
___ School Poster – What to do During an Asthma Attack
The following are available in English, French, Hindi, Punjabi:
___ Asthma Action Plan
___ Asthma Action Diary Card
Fact Sheets in English, Chinese, French, Italian & Portuguese:
___ Asthma in Schools and Daycares
___ Asthma and Seniors
___ Asthma and Triggers in the Home
___ Exercising with Asthma
___ How to Use a Diskus Inhaler
___ How to Use a Metered Dose Inhaler (MDI)
___ How to Use a Turbuhaler
___ Is My Asthma Under Control?
___ My Child Has Asthma. What Can I Do?
___ Occupational Asthma
___ Pets and Asthma
___ Pregnancy and Asthma
___ Tobacco Smoke and Asthma
___ Traveling with Asthma
___ What is Asthma?
The following are available in English only:
___ Asthma PowerPoint Presentation CD (for Health Care
Professionals only)
___ Bookmark promoting www.TeenAsthma.ca and www.PuffR.ca
___ Brochure – LAPS (in-school fundraising event)
___ Poster – Adults
___ Poster – Asthma Facts (for office display)
___ Poster – Children
___ Poster – Sports
___ Smoke Free Homes (brochure with stickers)
___ What Sets You Off? (poster & sticker set for children)
Please FAX your request to 416-922-9430 or MAIL to:
The Lung Association
Asthma Action Program
201 – 573 King Street East
Toronto ON M5A 4L3
Name: _________________________________________________
Company/Organization: __________________________________
Address:_______________________________________________
City: ____________________________Postal Code: ___________
Telephone: ______________________ Fax:__________________
Email:_________________________________________________
 How did you hear about The Lung Association’s Asthma program?
_____________________________________________________________
 I’d like to receive your newsletters
 Please put me on your mailing list
Check All That Apply:
 Family Physician Pediatrician Allergist Respirologist R.R.T.
 Pharmacist Nurse Teacher Daycare Worker CAE/COPD Ed.
 Other (please specify):_________________________________________
If you wish to speak to someone about your request, call the Asthma Action Helpline at 1800-668-7682.
All Materials are Free of Charge
The Ontario Lung Association respects your right to the privacy of your personal information in its possession. The
personal information you give us will be used only to inform you of the activities of The Lung Association and its two
professional healthcare Societies. Our full Privacy Policy may be found at www.on.lung.ca or by writing to our Privacy
Officer at 573 King St. E., Suite 201, Toronto, ON M5A 4L