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Harlequin Surgery NHS GP Surgery in Birmingham

Epilepsy monitoring

Epilepsy Monitoring

Epilepsy 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

Any side effects from your epilepsy medication?

Yes

Please contact the practice to speak to a clinician.

Are you confident with your medication?

Yes

Please contact the practice to speak to a clinician.

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

Would you like some information regarding contraception, conception and pregnancy and how this is affected by your epilepsy medication?

Yes

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

If you are human, leave this field blank.

160 Shard End Crescent
Shard End
Birmingham
B34 7BP

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0121 747 8291

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