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CHAIRS Jordan and Dylan Self HONORARY CHAIRS Colleen and Bill O'Brien EVENT COMMITTEE Rosanna and Myron Blaylock Liz and Jimmy Burke Martha and Tom Melody Joann and Jason Richey Jo Helen and Mike

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Dear friend form epilepsy is a form used to document information about an individual who has epilepsy and requires special assistance or accommodations.

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The purpose of dear friend form epilepsy is to ensure that individuals with epilepsy receive proper assistance and accommodations in case of an emergency.

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Information such as medical history, seizure symptoms, emergency contact information, and any specific accommodations needed must be reported on dear friend form epilepsy.

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