Identity
Name: Jill N
I DO NOT CONSENT TO AN AMBULANCE
Focal to Bilateral Tonic-Clonic Seizure Disorder
Date of Birth:1977
Medication Allergies: Levaquin, Sulfonamides
Current Medications: Lamotrigine 250mg 24 hr tablet once a day, Clobazam 10 mg tablet once a day
RESCUE MEDICATION: Clonazepam 1mg disintegrating tablet ONLY AS NEEDED
Contacts
Family
Spouse and Medical Power of Attorney:
- Name: Randy B
- Phone: 434.282.6920
Adult Son:
- Name: Thomas N
- Phone: 720.979.8309
Adult Son:
- Name: Kyle N
- Phone: 303.656.6589
Medical Professionals
Neurologist:- Name: Jacob Pellinen, MD
- Address: University of Colorado Health Sciences, Anschutz Neurosciences Dept, Epilepsy Center
- Phone Number: 720.848.2080
Primary Care Physician:
- Name: Kari Barton, MD
- Address: UCHealth
- Phone Number: 303.544.3800