Submit A Patient Case

Do you have a past or present patient case related to epilepsy or seizures that you would like to submit for discussion at an upcoming session?

Case based learning is a fundamental part of our sessions. Case presentations must be de-identified.

Patient cases can be submitted with the “Children & Youth” or “Adults” forms below. Fields marked with an asterisk (*) are required. If required information is unavailable, write “n/a”. If you are unable to fill in all fields feel free to submit as much information as possible and we will get in contact with you.

Mother and son

Children & Youth

Complete the Form