Project Access

Click on the links below to view and print forms:
Seizure Action Plan

This document will aid families and schools in appropriately responding to a seizure.  This document should be completed by the parent/guardian of a child with epilepsy and their physician.  The Seizure Action Plan was created by the National Epilepsy Foundation.

Parent Questionnaire Sample

This document provides detailed information about the students epilepsy/seizure disorder including the medication prescribed and behaviors to look for that may indicate the student is having a seizure.  To be completed by the parent/guardian of students with epilepsy.  The Parent Questionnaire was created by the National Epilepsy Foundation.

Parent Questionnaire

This document will aid parents in completing the Parent Questionnaire.  The Sample Parent Questionnaire was created by the National Epilepsy Foundation.

What Teachers Need to Know

This document provides basic but useful information about epilepsy that will aid teachers and their aides in learning basic facts about epilepsy.  What Teachers Need to Know was created by the National Epilepsy Foundation.

Seizure Observation Form

This blank document should be kept on file at schools so that if a student experiences a seizure, school personnel can provide written notes to the parent/guardian regarding what the seizure looked like.  The Seizure Observation Record was created by the National Epilepsy Foundation.

Sample 504 Plan

This document will be beneficial for students/families/school personnel that are drafting a 504 plan.  The information provides detailed information about seizures/epilepsy and is a good reference for tailoring accommodations to individual needs.  The Sample 504 Plan was created by the National Epilepsy Foundation.

Legal Rights of Children with Epilepsy in School and Child Care 

This is a 182 page manual that provides thorough information surrounding best practices and the rights of children and youth with epilepsy who are attending school/daycare centers.  This manual was drafted by an attorney at the Maryland Disability Law Center and was produced by the National Epilepsy Foundation.

Formulario de Plan de Acción (Español)

Plan 504 (Español)

Penry Travel Assistance Fund

Travel assistance funds are available for individuals who must travel more than 50 miles from their home to receive medical services but lack adequate financial resources to meet the cost of this travel.  Funding is made available through the National Epilepsy Foundation and all decisions are made by the National Epilepsy Foundation.

Mothers with Epilepsy

This brochure was designed for mothers with epilepsy and provides excellent information surrounding communication strategies and best practices for caring for a child while considering safety challenges for both the mother and the child.  This brochure was developed by the National Epilepsy Foundation.

Women with Epilepsy

This brochure was designed for all women with epilepsy, including mothers, and provides medically oriented information.  Women with epilepsy have special considerations surrounding childbearing, breastfeeding, puberty and menopause, as well as bone density concerns.  This brochure was developed by the National Epilepsy Foundation.

  

Medical Assistance Grant to Individual Families

United Healthcare Children's Foundation (UHCCF)

Amount: Grants of up to $5,000

http://www.uhccf.org/apply_applicant.html

For families who have children with critical healthcare treatment, services, or equipment not covered or not fully covered by their parents' health benefit plans.  The foundation provides grants to families to help pay for child healthcare services such as speech therapy, physical therapy, occupational therapy sessions, prescriptions, and medical equipment such as wheel chairs, orthotics, and eyeglasses.  Parents and legal guardians may apply.