This document outlines a medical care plan for a student with seizures. It provides information about the student's physician, type of seizures, medication, and limitations. It also details an emergency plan for what to do if a seizure occurs at school, during transportation, or at the bus garage. The plan requires signatures from the parent, nurse, teacher, bus driver, and physician.
This document outlines a medical care plan for a student with seizures. It provides information about the student's physician, type of seizures, medication, and limitations. It also details an emergency plan for what to do if a seizure occurs at school, during transportation, or at the bus garage. The plan requires signatures from the parent, nurse, teacher, bus driver, and physician.
This document outlines a medical care plan for a student with seizures. It provides information about the student's physician, type of seizures, medication, and limitations. It also details an emergency plan for what to do if a seizure occurs at school, during transportation, or at the bus garage. The plan requires signatures from the parent, nurse, teacher, bus driver, and physician.
Student Name DOB: Parent/Guardian: Address Phone (Home) (Work)
Physician (1):
Physician (2): Type of Seizure: Receiving Treatment: Yes No Type of Medication: Possible Side Effects: Likelihood and Frequency of Seizures During School Hours: Any Limitations Specified by the Physician: Parent/Guardian Comments: