This physician-created two page template provides prompters for key elements of a comprehensive evaluation for a COPD patient. Appropriate history, physical exam, treatment options, and other prompters are presented in a legible and user-friendly format.

Some elements require only that a box be checked.Additional space is provided for handwritten entries.Lists are provided to assist with rapid and easy documentation of commonly used drug classes and frequently advised patient therapies.Adobe Reader is required to print this template.