Genetics of Pharmacoresistant Epilepsy

Thank you for joining our study

Please provide your name and either an email address or mobile number so we can contact you only if we need to (e.g., there was a technical issue with an online submission).

Then click save and continue at the bottom of the page to go to the study information sheet.

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I am a Carer/Guardian and I will be providing consent to participate on another's behalf

Your personal information will be securely stored electronically and only accessible by the GenPhEp study team, and will only be removed if you ask us to. By submitting this form, you agree to receive email notifications about the GenPhEp study.

For more information on the QIMRB privacy policy please click here.