For us to monitor and evaluate the success of the care plan, we would be grateful if you would provide your contact details below if you download the plan.
If you do leave your details, we will contact you in six months time to ask for your evaluation of the plan. Even if you do not leave your details, please feel free to send any comments about the plan to Sadaf Aslam, Sapphire Scheme Co-ordinator at Epilepsy Action, email saslam@epilepsy.org.uk, telephone 0113 2108779.
The details you provide here will only be used for evaulating this patient care plan.