Fep1v form 2026

1. Click ‘Get Form’ to open the fep1v form in the editor.
2. Begin with Part A: About You. Fill in your title, surname, first name(s), date of birth, driver number, address, telephone numbers (home and mobile), postcode, and email using BLOCK CAPITAL letters.
3. Proceed to Part B: About Your GP and Your Consultant. Enter your GP's name and address, consultant's name and address, their telephone numbers, and the dates you were last seen by them.
4. In Part C, provide details of any other clinics you are attending. Include the clinic name, reason for attendance, date last seen, and any relevant reference numbers.
5. Move on to Part D: About Your Medical Condition. Answer the questions regarding your medical history related to seizures or blackouts by ticking the appropriate boxes and providing detailed information as required.
6. Complete the consent section at the end of the form by signing and dating it. Ensure all information is accurate before submission.

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