Seizure Health Care Plan doc 2026

1. Click ‘Get Form’ to open the Seizure Health Care Plan in the editor.
2. Begin by entering the student's name, date of birth, teacher's name, grade, and school in the designated fields. This information is crucial for identifying the student and ensuring proper care.
3. In the Seizure History section, provide details about the first and last seizure experienced by the student. Include a description of what a seizure looks like and how long it typically lasts.
4. Fill out the Rescue Medications section by listing any medications that may be administered at school. Ensure you complete the Seizure Treatment Order Form and Medication Authorization Form if applicable.
5. Indicate whether you will be sending medication to school by selecting 'Yes' or 'No'. Remember that if emergency medication is not available at school, 911 will be called for prolonged seizures.
6. List any daily medications along with their names, dosages, and frequency in the Daily Medications section. Again, complete a Medication Authorization Form if these are to be administered at school.
7. In the Action Plan for School section, sign as a parent/guardian to authorize utilization of this health care plan during school hours. Ensure all signatures are completed where required.

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