Skip to main content
Demo clinic
Multi Specialty Clinic
Epilepsy review
Epilepsy review
Review
How long has it been since your last epileptic fit?
*
Within the last week
1 to 4 weeks
1 to 6 months
6 to 12 months
Over 12 months
Are you currently on treatment for epilepsy?
*
Yes
No
How often do you have an epileptic fit?
*
None
Many seizures a day
Daily seizures
1 to 7 seizures a week
2 to 4 seizures a month
1 to 12 seizures a year
Are you a woman aged between 18 and 55?
*
Yes
No
Would you like some information regarding contraception, conception and pregnancy and how this is affected by your epilepsy medication?
*
Yes
No
Please make an appointment with a practice nurse to discuss this further.
Terms and conditions
*
I confirm that this is not an emergency and understand the surgery cannot help while it is closed. If I need help right now, I will use the NHS 111 service. In an emergency, I will call 999 or go to A&E.
Submit
If you are human, leave this field blank.