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Fep1v form 2026
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- Click ‘Get Form’ to open the fep1v form in the editor.
- 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.
- 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.
- 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.
- 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.
- 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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