Seizure Forms

Seizure Action Plan For Anyone

Seizure Action (or Response) Plans are available in English and other languages for all ages and any setting. The seizure action plan and additional forms help you create a plan to manage and respond to seizures.

When planning for school, remember to fill out the seizure action plan for school and update it each year.

Fill Out Your Seizure Action Plan

Observing Seizures

Tips Seizure Observation Recording- What to observe before, during and after seizures
Seizure Description Form - (English and Spanish)- Describing seizures with pictures
This publication was developed with funding from the federal Maternal and Child Health Bureau, Health Services and Resources Administration under grant #H98MCO 3905-03-01 funded to the USC UCEDD Children's Hospital Los Angeles, through its initiative, Project Access: Improving Care for Children with Epilepsy. Support was also provided by two other partners in Project Access: The National Initiative for Children’s Healthcare Quality (NICHQ), under grant #U23MC038893 and the Epilepsy Foundation, under grant # U23MC03909.

Seizure Recording/Diaries

Instructions for Using Seizure Calendars
Instructions for Using Seizure Calendars - a quick 'how to' on choosing and using seizure diaries
Seizure Calendar
My Monthly Calendar - monthly calendar to record type and frequency of seizures, good for tracking menses and triggers
My Seizure Event Diary
Easy to use checklist to record seizure behaviors