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Epilepsy and Seizure Diagnosis and Treatment Kimberly Mariachi, MD Blue Sky Neurology Friday, March 10th, 2017Objectives Review basic seizure definitions and subtypes Review work up for seizures Discuss
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Start by gathering all the necessary information and documents related to the epilepsy and seizure form.
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Carefully read through the form to understand the sections and requirements.
03
Begin by filling out the personal information section, including your full name, address, contact details, and date of birth.
04
Move on to provide details about your medical history, including any previous epilepsy or seizure diagnoses, medications taken, and treatments received.
05
If applicable, mention any known triggers or patterns for your seizures, such as certain activities, foods, or stressors.
06
Provide complete and accurate information about your current symptoms and their frequency. Include any relevant information about the duration and intensity of your seizures.
07
Be sure to mention any other medical conditions or medications that may have an impact on epilepsy or seizures.
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If required, include details about your healthcare provider or specialist who has diagnosed or treated your epilepsy or seizure. This may include their name, contact information, and any supporting documentation.
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Review the filled form to ensure all information is correct and legible.
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Sign and date the form as required, and submit it according to the specified instructions.
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Keep a copy of the filled form for your records.

Who needs epilepsy and seizure?

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Epilepsy and seizure forms are typically needed by individuals who have been diagnosed with epilepsy or seizures.
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This may include people who have experienced recurring seizures, have a history of epilepsy, or are seeking medical assistance or treatment.
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Additionally, these forms may be required for employment purposes, driver's license applications, or when participating in activities that require disclosure of medical conditions.
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It is essential to check the specific requirements and regulations of the organization or institution requesting the form to determine who specifically needs to fill it out.

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