Seizure Forms
Seizure Action Plan For Anyone
Seizure Action (or Response) Plans are available in English and other languages for all ages and any setting. The seizure action plan and additional forms help you create a plan to manage and respond to seizures.
When planning for school, remember to fill out the seizure action plan for school and update it each year.
Observing Seizures
Tips Seizure Observation Recording- What to observe before, during and after seizures
Seizure Description Form - (English and Spanish)- Describing seizures with pictures
This publication was developed with funding from the federal Maternal and Child Health Bureau, Health Services and Resources Administration under grant #H98MCO 3905-03-01 funded to the USC UCEDD Children's Hospital Los Angeles, through its initiative, Project Access: Improving Care for Children with Epilepsy. Support was also provided by two other partners in Project Access: The National Initiative for Children’s Healthcare Quality (NICHQ), under grant #U23MC038893 and the Epilepsy Foundation, under grant # U23MC03909.
Seizure Recording/Diaries
Instructions for Using Seizure Calendars- Instructions for Using Seizure Calendars - a quick 'how to' on choosing and using seizure diaries
Seizure Calendar- My Monthly Calendar - monthly calendar to record type and frequency of seizures, good for tracking menses and triggers
My Seizure Event Diary- Easy to use checklist to record seizure behaviors
Learn about tracking seizures and how it can make a difference in diagnosis, treatment, and managing epilepsy in other ways.
Questionnaire for Parents
Questionnaire for Parents of a Student with Seizures (English)
Questionnaire for Parents of a Student with Seizures (Hindi)
Questionnaire for Parents of a Student with Seizures (Hindi)
Questionnaire for Parents of a Student with Seizures (Punjabi)- Questionnaire for Parents of a Student with Seizures (Spanish)
Questionnaire for Parents of a Student with Seizures (Ukrainian)
Additional Forms
Forms courtesy of the Child Neurology Foundation:
Child Neurology Foundation Seizure Action Plan
Child Neurology Foundation Seizure Action Plan (Fillable)
Child Neurology Foundation Seizure Action Plan (Spanish)
Camp Forms
Supplement to Seizure Action Plan for camps
Resources
Epilepsy Centers
Epilepsy centers provide you with a team of specialists to help you diagnose your epilepsy and explore treatment options.
Epilepsy Medication
Find in-depth information on anti-seizure medications so you know what to ask your doctor.
Epilepsy and Seizures Helpline
Call our Epilepsy and Seizures Helpline and talk with an epilepsy information specialist or submit a question online.
Tools & Resources
Get information, tips, and more to help you manage your epilepsy.
Related Stories
Press Releases
Joyce A. Cramer to Receive Lifetime Accelerator Award for Transformative Contributions to Clinical Research and Epilepsy Innovation
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