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Wisconsin Seizure Control Network
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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)






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