Seizure Smart Schools At the Epilepsy Foundation of Minnesota, we are more committed than ever to making all schools in Minnesota and Eastern North Dakota "Seizure Smart". We know that when teachers, students and all school personnel better understand epilepsy and seizures - they are more equipped to provide the best possible environment for our students with seizures. We also know that "Seizure Smart Schools" is a TEAM effort - school staff, parents and kids can all make a difference when we work together!
We hope you find these forms a useful resource in getting your school Seizure Smart!
SCHOOL STAFF
The sample forms linked below provide guidelines for collecting data relevant to educational planning for students with epilepsy and can be adapted to meet individual and institutional needs. Each form requests information critical to appropriate health management planning, which can occur only if the data are used collectively. Click on the links at the bottom of this page for classroom activity sheets to help educate your students!
Student Interview Form
To be completed by the school nurse through an interview with the student. 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.
Teacher's Anecdotal Record
To be completed by school personnel when reporting a seizure(s) and/or medication side effects.
PARENTS
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.
Parent Packet
The Epilepsy Foundation has developed a folder just 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. ON LINE FORM Complete this online form or call 651.287.2310 / 1.800.779.0777 ext 2310 to order your free parent packet.
STUDENTS
November is National Epilepsy Month! Order your FREE Classroom Kit to help educate your friends and classmates about seizures!
For questions about the Epilepsy Foundation of Minnesota's "Seizure Smart School" Initiative, please contact Angie Mortenson at amortenson@efmn.org 651.287.2313.
Seizure Smart Schools Resources
Seizure First Aid Poster
Questionnaire for Parents
Student Interview
Seizure Information Sheet
SEIZURE OBSERVATION RECORD
SEIZURE ACTION PLAN
Seizure Record
Classroom Activity Sheets
Famous People Quiz
Test Your Seizure Sense Quiz
Additional Resources: Epilepsy Classroom
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