Family Contact Form

As a Family Partner you will be kept apprised of (1) new developments in SCN8A research findings from the SCN8A Registry research study, and (2) opportunities to participate in research, webinars and to join family groups who share similar experiences, genetic variants or geographic location with your family.

First Name

Last Name

Relationship to person with SCN8A

Country

City

Name of person with SCN8A epilepsy

Date of Birth

Does Your Child Experience Seizures?

cDNA*

Please enter the SCN8A cDNA* (amino acid) position which can be found on your genetic report.

Variant*:

If you do not have this genetic information, please contact us at info@scn8a.net