Epilepsy Review

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

Epilepsy Review

About You

Please use this date format: DD/MM/YYYY.
By giving us your email address on this online form, we assume consent to reply to this form via email when necessary. If you prefer not to receive email, please contact the surgery by telephone.

Epilepsy Review

If you are a female, aged between 18 and 55, and taking Sodium valproate (you may know this as Epilim),you will need to see or speak to a doctor and sign a Valproate risk form, annually.
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