As many as 325,000 school-age children, ages 5-14, have epilepsy in the U.S. Thankfully, with medication, surgery, a special diet or vagus nerve stimulation, most go to school and fully participate in school activities. Children who continue to have seizures, however, may run into problems. Many of these problems can be overcome or prevented through appropriate management by an informed school staff, particularly the classroom teacher and school nurse. It is important for parents and schools to work together to create a safe and supportive environment for students with seizures to allow them to achieve their full academic potential. The school nurse plays a pivotal role in seizure management, in helping train teachers and staff to respond appropriately to seizures, and in creating a positive environment among teachers, staff, and fellow students with respect to a child with epilepsy. School nurses also work with the parents to develop a seizure action plan, a tool that organizes and communicates the student's health care and educational needs. This article describes how to create an individualized seizure action plan that outlines the specific needs of the child. It presents guidelines and some of the accommodations that parents include in their children's seizure action plans.