Seizure Emergency Action Plan Form

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Seizure Emergency Action Plan For

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Child's Name(Required)
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Max. file size: 2 MB.

History

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Student Wears A Medic-Alert(Required)
Is The Student Taking Medication(Required)

Usual Seizure Presentation

Care Plan Information

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it is the parent's responsibility to notify the facility of any change in the child's condition

Sign below or write names if you agree with above information & plans

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