Patient and family resources

Forms and Documents

Communication with health care providers

• Questions for my child's next appointment (PDF)

Medication lists

• Home medication list - (Letter Size PDF)
• NICHQ Home Medication List (wallet size) (PDF)

School action plans and emergency plans

• Epilepsy care plan (PDF)
  
• History form for a student with seizures (PDF)
• Seizure emergency action plan (PDF)
• Medication consent form (PDF)
• Questionnaire for parents of students with seizures (Epilepsy Foundation) (PDF)
• Seizure observation record (Epilepsy Foundation) (PDF)