Do you ever find that sometimes it's hard to remember to refill a prescription for asthma medicine? Here are tools to help you stay on top of your prescription refills.

Refilling your child's asthma medicine prescriptions on time is a crucial step in controlling his or her breathing problems. However, when you’re very busy caring for your child and giving breathing treatments, sometimes the smaller jobs—like prescription refills—are easily overlooked.

Now you can get help from EVERYDAYKIDZ Refill Reminders. If you'd like to receive regular refill reminders by e-mail, just fill out the form below.

AstraZeneca respects your personal health information. The information you provide may be used to send you health-related materials and to develop products, services, and programs. AstraZeneca, or third parties working on our behalf, will not sell or rent personal health information. Please visit www.azprivacystatement.com to review our Privacy Statement.

^* Indicates a required field

E-mail Address*
Parent's first name*
Parent's last name*
Child's first name*
When would you like to receive your first refill reminder?*	Month 01 02 03 04 05 06 07 08 09 10 11 12   Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   Year 2007 2008 2009 2010
Choose your reminder schedule:*	Every 30 Days Every 60 Days Every 90 Days

EverydayKidz Refill Reminder is an automated e-mail service that will provide you with a reminder e-mail prior to your child’s scheduled visit. However, e-mail service is not always 100% reliable. Therefore, you should also have a backup system to remind you to contact your doctor or your pharmacy for a prescription refill.

To Cancel
If you have signed up for this feature and wish to unsubscribe, please click here.

Make sure that you attend all of your child’s appointments, and always be sure you have enough medicine on hand to ensure that he or she is never caught off guard by an attack.