Epilepsy Review

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

Epilepsy Review

Epilepsy Review

Section

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? *
Would you like some information regarding contraception, conception and pregnancy and how this is affected by your epilepsy medication?

Please make an appointment with a practice nurse to discuss this further.

*