Abstract: . . .  or print) _____________________________________________________________________________________________ Asthma & Allergy Foundation Page 3 New England Chapter SECTION 3: PLEASE ATTACH YOUR ORIGINAL ESSAY, ENTITLED: Overcoming obstacles to managing asthma or severe allergies as a teen Use your own experiences to tell others how you implemented a sound asthma/allergy plan, advocated for yourself, handled school situations and dealt with social pressures. Please include in your . . .
. . .  _____________________________________________________________________________________________ Asthma & Allergy Foundation Page 3 New England Chapter SECTION 3: PLEASE ATTACH YOUR ORIGINAL ESSAY, ENTITLED: Overcoming obstacles to managing asthma or severe allergies as a teen Use your own experiences to tell others how you implemented a sound asthma/allergy plan, advocated for yourself, handled school situations and dealt with social pressures. Please include in your essay actual . . .
. . .  _____________________________________________________________________________________________ Asthma & Allergy Foundation Page 3 New England Chapter SECTION 3: PLEASE ATTACH YOUR ORIGINAL ESSAY, ENTITLED: Overcoming obstacles to managing asthma or severe allergies as a teen Use your own experiences to tell others how you implemented a sound asthma/allergy plan, advocated for yourself, handled school situations and dealt with social pressures. Please include in your essay actual examples of . . .
. . .  Stabilized with intermittent therapy ( ) Stabilized with chronic therapy ( ) Other (describe) _________________________________ ALLERGIES A. TYPE: ( Please check all that apply to student ( ) Food ( ) Anaphylaxis ( ) Rhinitis ( ) Asthma ) ( ) Skin B. DURATION: ___________________________________________________________________________ C. SEVERITY: ( ) Mild ( ) Moderate ( ) Severe D. EFFECT ON LIFESTYLE : ( ) Significant ( ) Moderate ( ) Little ( ) None  . . .
. . .  check all that apply to student ( ) Food ( ) Anaphylaxis ( ) Rhinitis ( ) Asthma ) ( ) Skin B. DURATION: ___________________________________________________________________________ C. SEVERITY: ( ) Mild ( ) Moderate ( ) Severe D. EFFECT ON LIFESTYLE : ( ) Significant ( ) Moderate ( ) Little ( ) None E. ALLERGENS: __________________________________________________________________________ F. PHYSICIANS MEDICAL SUMMARY (May be attached on a separate page.)  . . .
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