Epilepsy Review

How long has it been since your last epileptic fit?

Are you currently on treatment for epilepsy?

Yes

No

How often do you have an epileptic fit?

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.

*

I confirm that the information provided is accurate to the best of my knowledge

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