Epilepsy Review

If you have been advised by the surgery to submit a epilepsy review please use this form.

Epilepsy Review

Epilepsy Review

About You

Please use this date format: DD/MM/YYYY.
Any responses we send will go to this email address.

Epilepsy Review

How long has it been since your last epileptic fit?
Are you currently on treatment for epilepsy?
How often do you have an epileptic fit?
Are you a woman aged between 18 and 55?
Are you currently using contraception?
Are you planning a pregnancy soon?

Please speak with a practice nurse to check you are on the best and safest epilepsy medication.

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