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SEIZURE / CHOKING EVENT LOG
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Staff's Name:
*
Week of (Start date):
*
🛈
+
Week of (End Date):
*
🛈
+
Email Address:
*
Individual's Name:
*
Today's Date:
*
+
Was there a seizure or choking event today?
*
Yes
No
If yes, select:
*
Seizure
Choking