Seizure Form

Seizure Form2018-09-05T12:15:10+00:00

2019 WDSRA Seizure Questionnaire

Please complete this form if the participant experiences seizures. You will be asked to review this once a year and provide any necessary updates. For the safety of the participant you are requested to update this form whenever there is a change in the seizure information or plan and promptly submit it to WDSRA.

Contact Us

For more information or to secure an interview, contact Sherry Manschot, Marketing/PR Manager, at 630-681-0962 ext550 or sherrym@wdsra.com.