Free caregiver tool

A little detail helps.

Print this sheet and bring it to your clinician. No entries are sent to us or stored by this page. Avoid writing names on copies you share.

If your child has breathing difficulty or other emergency signs, seek help now. A diary is not a triage tool.

Cough diary

Cough began: __________   Child's age: __________

Date / timeWet / dry; patternNight awakeningsFever / breathing / drinkingMedicine or action; change
     
     
     
     
     
     
     

Questions for the clinician

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