Share Your Story: Epilepsy
The Epilepsy Foundation is committed to involving people with epilepsy and their families and caregivers in the policymaking process. Share your story with us by filling out the form below.
First Name *
Last Name *
State *
Email address *
How old are you (or your child?) *
My epilepsy story fits into the following policy category. *
Tell us about how one or more of these areas has affected your life. (Federal Funding for Epilepsy, Affordable Care Act, Medicaid, Medicare, Medical Cannabis, Access to Prescription Medications, Disability & Discrimination, SUDEP Awareness) What is your epilepsy story? *
Please upload a photo of yourself for our website. *
Required
I hereby grant permission for the Epilepsy Foundation to use my story and photo on their websites and social media accounts. *
Submit
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