Epilepsy Review

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

Epilepsy Review

Epilepsy Review

About You

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

Epilepsy Review

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

Alcohol Consumption

This is one unit of alcohol:

And each one of these, is more than one unit:

Smoking Questionnaire

For advice and support on how to quit smoking, please visit the Quit Smoking page on the NHS website.

Please visit the Bristol Drugs Project for free alcohol and drug support. 

Please visit the Epilepsy and Driving page on the Gov.uk website.