INCA SEIZURE CARE PLAN WEEKLY LOG

INCA SEIZURE CARE PLAN WEEKLY LOG

Childs’s Name________________________________________

Date

Time of 1st Seizure

Duration Time of 2nd Seizure

Classroom_________________________

Duration

Time of 3rd Seizure

Duration

Time 911/Parent was contacted

Signature of Teacher/Aide________________________________

Comments:____________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________