ASTHMA PROGRAM
PUBLICATION REQUEST FORM
RETURN TO: NYS Department of Health
Distribution Center
NYSDOH Distribution Center
PO Box 343
Guilderland, NY 12084-0343
Email: [email protected]
For an electronic publication request form, go to:
http://www.health.ny.gov/forms/order_forms/asthma.pdf
Name:
Organization:
Address (No P.O. Boxes):
City:
State:
Telephone Number:
Zip Code:
Date of Request:
TITLE/DESCRIPTION
QUANTITY
Clinical Guideline for the Diagnosis, Evaluation and Management of Adults and Children with
Asthma – 2013
The New York State consensus asthma guideline decision support tool is intended to assist clinician in applying concepts
of the NAEPP Expert Panel Report-3 into practice.
Spiral Pocket Guide (pub 4750)
15
25
100
Asthma in the Primary Care Practice DVD
Clinical Application of the NAEPP Expert Panel Report-3, 2007 Guidelines for the Diagnosis and Management of Asthma. This
is a companion piece to the above guideline decision support tool and is acceptable for up to 1.50 prescribed credits by the
American Academy of Family Physicians.
Case Based DVD (pub PP50)
15
25
100
Asthma Action Plan
The purpose of this Asthma Action Plan is to help families become proactive and anticipatory with respect to asthma
exacerbations and their control. The Asthma Action Plan should be used as an education and communication tool between the
provider and the patient and his or her family. The patient/family should be able to demonstrate an understanding of the plan
and the appropriate use of medicines.
English (pub 4850)
Spanish (pub 4851)
15
15
25
25
100
100
Asthma and Influenza Brochure for People with Asthma
This brochure answers these questions: What is asthma; What is flu; Is the flu shot safe; Do I need to get a flu shot every
year; Should my family get a flu shot too; and Where do I get a flu shot?
Have asthma? You need a Flu Shot Brochure
English (pub 2410)
Spanish (pub 2414)
Russian (pub 2415)
Chinese (pub 2416)
Haitian/Creole (pub 2417)
15
25
100
15
25
100
Only available for download
Only available for download
Only available for download
Fast Facts for Health Care Providers – Asthma and Influenza
English (pub 2429)
Only available for download
Asthma In Schools – Asthma Emergency Poster for Schools
These handy reference tools for coaches and school staff describe what steps are necessary to take to manage asthma in the
classroom and on the athletic fields.
English (pub 4947)
15
25
100
Is Your Asthma Work-Related?
This brochure is intended for adults diagnosed with asthma and provides information on who can develop work- related asthma,
how to tell if you have work-related asthma, and what can be done to control asthma at work.
English (pub 2775)
15
25
100
Spanish (pub 2832)
15
25
100
Publications are available free of charge to New York State residents and organizations.
Questions can be submitted to [email protected].
Have Asthma? Take a Look Around You
Designed to help people with asthma identify their triggers and to suggest practical ideas for reducing exposure to triggers
indoors and outdoors. This brochure was developed by clinical and environmental health professionals with input from
literacy teachers and students. Its easy-reading presentation includes lots of pictures and stories about steps to take to
reduce asthma episodes. It also includes a two-sided, tear-off panel for patients to use with their doctors to better manage
asthma.
English (pub 4990)
Spanish (pub 4991)
15
15
25
25
100
100
Trigger Tracker and Key Questions
This is a companion tool to the Have Asthma? brochure described above. The Trigger Tracker section of this tool is
designed to help patients keep track of their asthma and asthma triggers and the Key Questions may help to facilitate
patient-provider communication.
English (pub 5024) - pad(s) of 50 tear-off sheets
Spanish (pub 5025) - pad(s) of 50 tear-off sheets
5
5
10
10
25
25
Don’t Let Asthma Knock the Wind Out of Your Child!
This brochure and poster series describes “what is asthma,” and how asthma can be treated and controlled.
Standard Literacy Asthma Brochures
English (pub 4819)
Spanish (pub 4823)
Arabic (pub 4835)
Chinese (pub 4822)
Creole (pub 4821)
Russian (pub 4834)
Easy Reading Asthma Brochures
English (pub 4830)
Spanish (pub 4831)
Arabic (pub 4837)
Chinese (pub 4833)
Creole (pub 4832)
Russian (pub 4836)
“Boy” Poster – English (pub 4828)
“Boy” Poster – Spanish (pub 4829)
Only available for download
Only available for download
15
25
100
15
25
100
15
25
100
15
25
100
15
25
100
Only available for download
15
25
100
15
25
100
15
25
100
15
25
100
15
25
100
15
25
100
Cleaning Safety hang tags
Many cleaning products contain chemicals that may cause asthma, and these chemicals can also make existing asthma
words. These laminated cards remind cleaners or anyone who uses cleaning products about asthma -friendly practices to
protect workers and reduce asthma allergens.
English (pub 6507)
15
25
100
Working Together Brochure Series
We spoke to asthma patients and health professionals (such as physicians, nurses, nurse practitioners, physician
assistants, pharmacists and health educators) about important messages for managing asthma. These brochures capture
some of the ideas they shared, and are intended for patients and health professionals to use together to improve their
partnership in managing asthma.
Managing Asthma – English (pub 4954)
Environmental Asthma Triggers – English (pub 4955)
Peak Flow Meters and Logs – English (pub 4956)
15
15
15
25
25
25
100
100
100
“What is Asthma?” Medicaid Asthma Brochure
This brochure and poster series is targeted at NYS Medicaid fee-for-service (FFS) recipients known to have asthma and
highlights facts about asthma, asthma self-assessment test, and a summary of NYS Medicaid FFS coverage for asthma
treatment & management.
English (pub 4942)
Spanish (pub 4943)
“Got Asthma?” Medicaid Asthma Poster
English (pub 4940)
Spanish (pub 4941)
5
5
10
10
25
25
NON-DOH Publications Available at our Distribution Center
Respiratory Inhaler Poster (8 ½” X 11”)
This Allergy and Asthma Network for Mothers poster helps patients identify their medication from healthcare providers
and offers easy reference for patient education. Perfect for school clinics and emergency rooms.
English (pub PP33)
Publications are available free of charge to New York State residents and organizations.
Questions can be submitted to [email protected].