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School District 69 (Qualicum) Appendix VIII Student Health and Common Medical Conditions PLAN OF CARE EPILEPSY STUDENT INFORMATION Student Name ___Date Of Birth ___P.E.N. # ___Age ___Grade ___Teacher(s)
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How to fill out seizures supplemental form school
How to fill out seizures supplemental form school
01
Obtain the seizures supplemental form from the school office or website.
02
Fill out your personal information including name, date of birth, and contact information.
03
Provide details about the seizures such as frequency, triggers, and any medications being taken.
04
Include emergency contact information in case of a seizure at school.
05
Sign and date the form before submitting it to the school nurse or designated staff member.
Who needs seizures supplemental form school?
01
Any student who has a history of seizures or has been diagnosed with a seizure disorder.
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What is seizures supplemental form school?
The seizures supplemental form school is a document used by schools to report and manage students who experience seizures, ensuring that appropriate accommodations and medical provisions are in place.
Who is required to file seizures supplemental form school?
The seizures supplemental form must be filed by school officials or designated staff members responsible for students diagnosed with seizures, often in conjunction with the student's medical provider.
How to fill out seizures supplemental form school?
To fill out the seizures supplemental form school, individuals must provide details such as the student's medical history, description of seizures, treatment plans, emergency procedures, and any necessary accommodations.
What is the purpose of seizures supplemental form school?
The purpose of the seizures supplemental form school is to document a student's seizure condition and ensure that all staff are informed of the necessary care protocols to support the student effectively.
What information must be reported on seizures supplemental form school?
The information that must be reported includes the student's name, date of birth, type and frequency of seizures, the prescribed treatment plan, and emergency contacts.
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