Epilepsy Review

If you have been advised by the surgery to submit an epilepsy review please use this form. However, if your epilepsy is not under usual control, please contact the surgery to make an appointment with your doctor.

Epilepsy Review

Epilepsy Review

About You

Please use this date format: DD/MM/YYYY.

Epilepsy Review

How long has it been since your last epileptic fit?
Please make an appointment with your usual GP. You do not need to submit a review form.
Are you currently on treatment for epilepsy?
How often do you have an epileptic fit?
Please make an appointment with your usual GP. You do not need to submit a review form.
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.
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