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Legal Rights of Children with Epilepsy in School & Child Care

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given to the parents shall be <strong>in</strong> writ<strong>in</strong>g and shall <strong>in</strong>clude <strong>in</strong>formation about the<br />

type(s) <strong>of</strong> seizures that occurred, any first aid or other treatment provided, and<br />

any other relevant <strong>in</strong>formation.<br />

9.3 As stated <strong>in</strong> the attached Seizure Action Plan, <strong>in</strong> the event <strong>of</strong> an emergency<br />

such as a seizure that results <strong>in</strong> an unusual response, school staff shall contact<br />

911 and notify (student’s name’s) parents.<br />

10. EMERGENCY EVACUATION AND SHELTER-IN-PLACE<br />

10.1 In the event <strong>of</strong> an emergency evacuation or shelter-<strong>in</strong>-place situation, (student’s<br />

name’s) Section 504 Plan shall rema<strong>in</strong> <strong>in</strong> full force and effect.<br />

10.2 The school nurse or other person identified by school staff and named <strong>in</strong> this<br />

Plan, shall provide seizure care as outl<strong>in</strong>ed <strong>in</strong> this Plan and will be responsible<br />

for transport<strong>in</strong>g (student’s name’s) medication. He or she shall rema<strong>in</strong> <strong>in</strong> contact<br />

<strong>with</strong> (student’s name’s) parents/guardians, and shall receive <strong>in</strong>formation,<br />

guidance, and necessary orders from the parents regard<strong>in</strong>g seizure care.<br />

11. EMERGENCY CONTACTS:<br />

___________________ ______________ ____________ _________<br />

Parent/Guardian Name Home Phone Work Phone Cell Phone<br />

__________________ _______________ _____________ _________<br />

Parent/Guardian Name Home Phone Work Phone Cell Phone<br />

Other Emergency Contacts:<br />

____________________ ____________________ ____________________<br />

Name Home Phone Work Phone<br />

____________________ ____________________ ____________________<br />

Name Home Phone Work Phone<br />

Physician(s):<br />

___________________<br />

Name<br />

___________________<br />

Name<br />

______________________<br />

Phone<br />

______________________<br />

Phone<br />

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

www.epilepsyfoundation.org<br />

8

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