Seizure Form

Seizure Form2019-07-17T11:40:47-06:00

2020 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.