SEIZURE PROTOCOL
SEIZURE PROTOCOL
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Name: DOB:
Diagnosis:
Emergency Contact: PHONE:
__name_______________s MEDICAL History:
MEDICATIONS:
HISTORY: ______name________ has a history of Petit Mal seizures, display by for
Seconds/minutes.
Grand Mal seizures display as follows:
NOTE:
If has a seizure lasting longer than minutes:
- Call: parent: name: phone: _________________________
- Call 911 if seizure lasts longer than 5 minutes and no rescue medications are available.