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Adult Seizure Record Form


Friday, January 30, 2009

Observing and Recording Seizures

There are many different kinds of seizures. The doctor must know which kind you had before the right medication can be prescribed. Sometimes it’s diffcult to tell certain kinds of seizures from others. The doctor may not see the seizure, so he or she must rely on your description, or the information that you got from others, about your seizures and the form they take along with what medical tests reveal to help the physician to decide which medication to use. The better you are in describing the seizure, the easier and, perhaps, quicker it will be for the doctor to start bringing the seizures under control. It is possible to have more than one type of seizure. If you think you have had more than one kind, be sure to describe each one separately and record the type you think it is.

Seizure Record

The following form will help you to keep a record of when your seizures occur. You should find it useful for making an accurate report during visits to the doctor. It will be particularly helpful during the early visits when the doctor is developing the proper medication program for you.

Date Time of Day How Long Seizures Lasted Description of Seizure and Other Information to be Discussed with the Doctor

Example:

01/01/2014

12:00pm 2 minutes Important details to be shared
       
       
       
       

 

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