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SEIZURE ACTION PLAN 201415 THIS Students IS BEING TREATED FOR A SEIZURE DISORDER. THE INFORMATION BELOW SHOULD ASSIST YOU IF A SEIZURE OCCURS DURING SCHOOL HOURS. Students Name Parent/Guardian: Treating
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This student is being a student at a school or educational institution.
Parents or legal guardians of the student are required to file this information.
The student information form must be completed with the required details of the student.
The purpose is to provide accurate information about the student for educational and administrative purposes.
Information such as student's name, age, grade level, address, contact details, emergency contact, etc. must be reported.
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