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SEIZURE ACTION PLAN Name: Birth Date: Address: Phone: Emergency Contact/Relationship
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How to fill out seizure action plan sap

01
Start by writing the person's name at the top of the form.
02
Fill in the person's contact information and emergency contact information.
03
Include the person's medical history, medications, and any allergies they have.
04
Detail any specific triggers or warning signs that signal an oncoming seizure.
05
List step-by-step instructions on what to do during a seizure, including when to administer medication if needed.
06
Make sure to include any additional information or special instructions provided by a healthcare professional.

Who needs seizure action plan sap?

01
Individuals who have been diagnosed with epilepsy or other seizure disorders.
02
Caregivers, family members, or friends who may need to assist someone during a seizure episode.
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Seizure Action Plan (SAP) is a document outlining steps to be taken when a person with epilepsy has a seizure.
People with epilepsy, their caregivers, and healthcare providers are required to create and file a Seizure Action Plan (SAP).
Seizure Action Plan (SAP) can be filled out by including information on the person's triggers, types of seizures, medications, emergency contacts, and steps to be taken during a seizure.
The purpose of Seizure Action Plan (SAP) is to ensure that appropriate action is taken during a seizure to keep the person with epilepsy safe and to minimize the risk of complications.
Information such as triggers, types of seizures, medications, emergency contacts, and steps to be taken during a seizure must be reported on Seizure Action Plan (SAP).
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