Get Epilepsy Management Plan - Epilepsy Queensland

Filling out the Epilepsy Management Plan is a crucial step in ensuring that the needs of individuals with epilepsy are met effectively. This guide will provide you with clear, step-by-step instructions to help you complete the form accurately and comprehensively.

Follow the steps to complete the Epilepsy Management Plan efficiently.

1. Press the ‘Get Form’ button to access the Epilepsy Management Plan and open it in your preferred editor.
2. Begin by entering the date on which you are filling out the form in the designated field.
3. Next, specify the date when the plan should be reviewed to ensure it remains current.
4. Provide the date of birth of the person with epilepsy, along with their current weight in kilograms.
5. Fill in the address, postcode, phone number, mobile number, and email address of the person with epilepsy.
6. Identify the first emergency contact by providing their name, relationship to the person with epilepsy, and all relevant phone numbers and email addresses.
7. Repeat step 6 for the second emergency contact, listing the necessary contact details.
8. Complete the current epilepsy medication section by listing the medication name, dose regime, and any relevant comments.
9. Indicate whether an emergency epilepsy medication has been prescribed and attach the required Emergency Medication Management Plan if applicable.
10. Provide details of the epilepsy diagnosis, if known, and describe the types of seizures experienced, including pre-seizure, during, and post-seizure behaviors.
11. List any known seizure triggers and potential other seizure treatments being used, such as surgery or a ketogenic diet.
12. Include details of any other medical conditions and current medications, ensuring to specify names and dosages.
13. Describe the seizure first aid procedure specific to the person, ensuring that all necessary steps are noted.
14. Specify when to call an ambulance and outline any post-seizure monitoring requirements.
15. Provide other specific instructions relevant to the individual’s management plan.
16. Include the endorsement from the treating doctor or epilepsy specialist, including their name, signature, phone, and mobile numbers alongside the date.
17. List the names and roles of people involved in the preparation of the plan and where copies of the plan are located.
18. Finally, review the completed form, make any necessary edits, and save your changes. You can then download, print, or share the form as required.

Complete your Epilepsy Management Plan online today for effective management of epilepsy.