Program Request Form

/Program Request Form
Program Request Form 2018-12-12T09:10:50-06:00

If you are interested in enrolling for an asthma course or if you would like to schedule a live course for your group, please complete indicate your preference and complete the form below. If you have not been contacted in 72 hours by our staff, please call 573-884-8629. Thank you.

Acting on Behalf of my Child© (ABC) to Control Asthma - For the parents and caregivers of infants and young children with asthma. Includes DVD with asthma literacy booklet promoting the importance and safety of an inhaled corticosteroid (ICS) in the medication regimen. (CPT 98960)

Asthma Control Everyday© (ACE) - For school age children and their families. Supports a session with a trained educator. (CPT 98960)

Counseling for Asthma Risk Reduction© (CARR) - Training for clinic-based asthma educators to provide comprehensive education and guidance to children and families during the first four (4) clinic visits for standard curriculum. (CPT 99402, 99401)

Pharmacist’s Asthma Encounter Management Application Training© (EMA) - For Missouri pharmacists. An automated point-of-dispensing system to address asthma medication- related problems and other self-care issues. (CPT 99605)

Becoming an Asthma Educator and Care Manager© (BAECM) - Completion of a Becoming an Asthma Educator and Care Manager (BAECM©) from the Association of Asthma Educators, a 6-hour, face-to-face workshop is the first of three requirements for earning a Missouri state asthma educator certificate from the University of Missouri. BAECM courses are offered at various sites around the state each year at no cost to participants. Step two is completion of CARR, ACE or ABC (available online, see above descriptions). Step three is working with an AE-C mentor to provide education to 5 families. (To request a mentor assignment contact With either a national (AE-C) or Missouri state asthma educator certificate from the University of Missouri, you are eligible to become a disease management (DM) provider under MO HealthNet rules. Reimbursement is available from MO HealthNet for delivering a standardized, evidence-based asthma education program (S9441 or 98960) to eligible children and their families.

Teaming Up for Asthma Control© (TUAC) - School nurses receive 2.5 hours of on-line training, delivered as streaming video, with online pretest and posttest. Following successful completion you will receive asthma literacy curriculum for students and parents, a free digital flow meter for measuring forced expiratory volume in 1 second (FEV1)/ peak expiratory flow (PEF) and an In Check Dial to improve students’ inhalation technique. At school, students can watch a 20 minute CD/DVD based on IMPACT Asthma Kids©. At home with their parents, students can complete a take-home learning activity.

Asthma Ready Clinic Training, Part 1© - This evidence based 2 hour continuing education (CME) program developed by the MU School of Medicine is intended for physicians, nurse practitioners, and physician assistants who provide direct care to individuals who have asthma. ARCT1 incorporates information from Physician Asthma Care Education (PACE) and is aimed at peaking interest in EPR3-compliant practices in primary care. Group event, usually a dinner or breakfast CME sponsored by the local hospital or medical society for primary care providers.

Asthma Ready Clinics Training, Part 2© - This is a 4 hour CME event developed by the MU School of Medicine, based on Physicians Asthma Care Education (PACE) aimed at equipping local clinical teams to implement EPR3-compliant practices, for all clinic staff. Asthma assessment equipment and asthma care supplies are provided to clinic at completion of training. A meal is provided during this training session.