Information and Referral

Epilepsy Information

Were you or your child just diagnosed with epilepsy? Did you have a seizure after not having one for a few years? Then we can help. At this point you probably have lots of questions and concerns, which is normal, calling us can help. We can provide you with basic epilepsy information or more specific information depending on your situation.

Specialist Referrals

We can also provide referrals to epilepsy/seizure specialists on our Professional Advisory Board. Please fill out the request form below and our team will connect with you.

Request Form

Information / Referral Request Form

Please complete the form below and we will promptly provide you with detailed information specific to personal needs.

"*" indicates required fields

Name*
Address
I am...*
Race and Ethnicity
How did you hear about us?*
I would like information about: