Oklahoma Allergy and Asthma Clinic
Peak Flow Record
Name: ________________________________
Week Of: ______________________________
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Medication
Medication
Medication
Medication
Medication
Medication
Medication
AM
PM
AM
PM
AM
PM
AM
PM
AM
PM
AM
PM
AM
PM
Time
500
400
300
200
100
0
Peak Flow Chart, OAAC 1431, Rev. 7/08