SEIZURE CHART / RECORD OF SEIZURES



SEIZURE CHART / RECORD OF SEIZURES | |

|Facility Name: ______________________________________________________________ |

|Client Name: _______________________________________________________________ |

|Observations should include: time of day, duration of seizure, description of pre-seizure behavior, description of seizure behavior, |

|description of post-seizure behavior |

|DATE |TIME |DURATION |DESCRIPTION |INITIAL |

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