An epilepsy management plan PDF is a short written document that tells family, carers, teachers and support workers exactly how to help when someone has a seizure. It is useful whenever other people share responsibility for your safety, such as at home, school, work or when you receive NDIS supports.
This guide gives you a section-by-section table, a ready-to-copy example and steps to fill it in. It builds on our guide to epilepsy management.
A good plan fits on one or two pages and answers the questions a stranger would ask during a seizure.
The same core plan works across settings, but each place needs small additions.
If you need an epilepsy management plan in Queensland (QLD) or another state, the structure is the same, but your school or state education department may ask for its own form, so check what they require.
TQN Care support workers help with personal care, community access, respite and help around the home across Sydney, Melbourne and surrounding areas (NSW & VIC). Tell us what you need and we will call you back.
Make a referral →Copy this layout into a document, replace the bracketed fields and ask your doctor to check it. It is an epilepsy plan template, not medical advice.
EPILEPSY MANAGEMENT PLAN
1. About me
Name: [full name] · Date of birth: [date] · Photo: [attach]
Emergency contact 1: [name, relationship, phone] · Contact 2: [name, relationship, phone]
GP: [name, phone] · Neurologist: [name, phone]
2. My seizure types
Type: [name and plain description] · Usual length: [as advised by doctor] · What I am like afterwards: [for example, sleepy, confused]
3. Triggers and warning signs
Triggers: [for example, missed sleep, illness] · Warning signs: [what people might notice]
4. What to do during a seizure
[Seizure first aid steps approved by my doctor or treating team, written in plain words]
5. Call 000 if
[Conditions approved by my doctor, plus the standard first aid list below]
6. Emergency medicine
[Yes or no] · Name and instructions: [written by my doctor] · Staff trained to give it: [names]
7. After the seizure
[Where I rest, who to tell, when I can return to activities]
8. Agreement
Signed by: [person or guardian] · Doctor: [name, date] · Copies held by: [school, workplace, provider] · Review date: [date]
For the “call 000” section, Epilepsy Action Australia advises calling an ambulance if the seizure lasts longer than 5 mins, the person is non-responsive for more than 5 mins after it ends, another seizure quickly follows, it happens in water, or the person is injured or has breathing difficulties (Epilepsy Action Australia).
Allow time to get this right, because the plan is only as useful as its detail. Epilepsy Action Australia says its online plan takes approximately 15-20 minutes to complete (Epilepsy Action Australia).
TQN Care support workers help with personal care, community access, respite and help around the home across Sydney, Melbourne and surrounding areas (NSW & VIC). Tell us what you need and we will call you back.
Make a referral →Once your plan is signed, make sure everyone who supports you has a copy. At TQN Care, our high-care and complex support workers follow each person’s plan and are trained for individual needs. You can read more about high intensity supports or types of NDIS plan management, then make a referral and we will call you back.
An epilepsy action plan is a written guide that explains what a person’s seizures look like and what others should do to help. It includes contacts, first aid steps, when to call 000 and any emergency medicine instructions from the person’s doctor.
Epilepsy Action Australia offers an online plan, and the Epilepsy Foundation lists plan templates on its epilepsy plans page. Download one, fill it in with your doctor and save the finished PDF.
Epilepsy Action Australia recommends reviewing a plan annually, or sooner if circumstances change, such as new medicine, a new seizure type or a change of school or workplace. Update and re-share every copy after each review.
A plan gives school staff essential information about how to help if your child has a seizure. Ask the school what it requires, ask your child’s doctor to help complete it, share it with the school, and read our guide to childhood epilepsy for background.