№ lp_1_2_61975
Structured medical form used in clinical practice for documenting and referring children experiencing their first afebrile seizure, including patient details, observations, comorbidities, red flags, and checklist confirmation.
Year: 2020
Review date: 30/06/2022
Version: V1
Approved by: Documentation Compliance Group DCG464
Author: Eve Bassett
Target audience: Paediatric clinicians and staff
Type of document: Medical referral proforma
Patient age group: Children under 1 year and older children as applicable
Clinical focus: First afebrile seizure assessment and referral
Submission method: Email to paediatric emergency clinic
Legal status: Part of a legal patient record
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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