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Legal Rights of Children with Epilepsy in School & Child Care

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(Student’s name) needs assistance or supervision to take his or her rout<strong>in</strong>e<br />

medication. S/he needs assistance <strong>with</strong> the follow<strong>in</strong>g care tasks:<br />

(a) ______________________________________<br />

(b) ______________________________________<br />

(c) ______________________________________<br />

(d) ______________________________________<br />

(Student’s name) needs a person to perform the follow<strong>in</strong>g care tasks dur<strong>in</strong>g a seizure:<br />

(a) ______________________________________<br />

(b) ______________________________________<br />

(c) _______________________________________<br />

(d) Adm<strong>in</strong>istration <strong>of</strong> Diastat Acudial<br />

Medication and supplies shall be stored at:<br />

_________________________________________________<br />

3. EXERCISE, PHYSICAL ACTIVITY, AND REST PERIODS:<br />

(Student’s name) shall be permitted to participate fully <strong>in</strong> physical education classes<br />

and team sports except as set out below <strong>in</strong> accord <strong>with</strong> physician orders:<br />

______________________________________________<br />

______________________________________________<br />

______________________________________________<br />

Physical education <strong>in</strong>structors and sports coaches must be able to recognize the<br />

student’s seizures and assist <strong>with</strong> first aid.<br />

Responsible school staff members will make sure that any needed emergency AEDs<br />

such as Diastat Acudial are available for (student’s name) at the site <strong>of</strong> his/her physical<br />

education class and team sports practices/games.<br />

<strong>School</strong> staff shall ensure that if (student’s name) has a seizure and needs to sleep or<br />

rest afterwards or otherwise needs to rest dur<strong>in</strong>g the school day, he or she will have the<br />

opportunity to do so <strong>in</strong> a safe, supervised, comfortable sett<strong>in</strong>g. The sett<strong>in</strong>g does not have<br />

(301) 459-3700 • (888) 886-EPILEPSY • FAX: (301) 577-2684 • postmaster@efa.org •<br />

www.epilepsyfoundation.org<br />

5

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