Seizure Smart Schools
Student Interview Form
To be completed by the school nurse through an interview with the student, when age appropriate. The student's understanding of his or her epilepsy will provide valuable information in health management planning. The form should be updated every six months or when changes occur.
Seizure Observation Record
To be completed by school personnel when reporting a seizure(s) and/or medication side effects.
Seizure Action Plan
Designed to provide basic information about a student's seizure(s), and medication, as well as what school personnel should do for the student during a seizure. It should be distributed at the beginning of a school year, when a diagnosis is made or when a change in health status occurs.
Questionnaire for Parents
To be completed by the student's parent(s). In some cases the school nurse may need to interview the parent(s) to clarify and fill in the information requested. The form should be updated annually or when any changes occur and will assist school personnel in recognizing a student's seizure(s), responding appropriately, and planning.
Seizure Information Sheet
Designed to provide basic information about a student's seizure(s), and medication. It should be distributed at the beginning of a school year, when a diagnosis is made or when a change in health status occurs.
Resources are available for parents to help make their child's school experience a success. The packet includes many of these forms and information about advocating for your child, information to be given to your child's teacher, etc. Complete the form below or call 651.287.2310 / 1.800.779.0777 ext 2310 to order a free packet, which is only available in MN, ND and SD.
Kits are available for students to take into their classrooms. These resources will help other students understand seizures and epilepsy. Information for the teacher is also included. Complete the form below or call 651.287.2310 / 1.800.779.0777 ext 2310 to order a free packet, which is only available in MN, ND and SD.
Seizure Smart Schools Classroom Education
This free presentation educates students about seizures and how to properly respond to a classmate having a seizure.
This program educates elementary school students about epilepsy and seizures while encouraging acceptance.
Find out the Facts
This program educates middle school students about epilepsy and seizures, and helps dispel epilepsy myths.
Seizures and You: Take Charge of the Facts
This program educates high school students about epilepsy, creating a more understanding and supportive environment for teens with epilepsy.
This program is funded in part by