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Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)
    • All children with recent onset of clinically obvious seizures
    • Unstable epilepsy requiring re-evaluation and management
    • A child currently in out of home care (OOHC) or at risk of entering or leaving OOHC, where they have previously been on a waiting list for this problem and were removed without receiving a service

    Children who have been seen by a paediatric consultant in emergency with a first seizure may not require a category 1.Most children seen in emergency following a first seizure will be discharged when stable and specialist follow up should be arranged by their GP if required.

  • Category 2
    (appointment within 90 calendar days)
    • Known epilepsy with stable management who are transferring care and do not have a specialist available for advice or management
    • Children with episodes that may be suggestive but are not conclusively epilepsy
  • Category 3
    (appointment within 365 calendar days)
    • Known epilepsy with stable management who are transferring care and have appropriate interim care arrangements in place

1. Reason for request Indicate on the referral

  • To establish a diagnosis
  • For treatment or intervention
  • For advice and management
  • For specialist to take over management
  • Reassurance for GP/second opinion
  • For a specified test/investigation the GP can't order, or the patient can't afford or access
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)
  • Clinical judgement indicates a referral for specialist review is necessary

2. Essential referral information Referral will be returned without this

  • Detailed seizure description, duration, frequency, date of onset
  • Associated problems such as cyanosis or injuries during events
  • Details of current medications used to control epilepsy, if any
  • Report presence or absence of concerning features
    • Headaches
    • Focal seizures
    • Personality change
    • Polyuria or polydipsia
    • Recent change in sleep behaviour
    • Recent onset of clumsiness or poor coordination,
    • Unexplained vomiting
  • Confirmation of OOHC (where appropriate)

3. Additional referral information Useful for processing the referral

Highly desirable Information – may change triage category.

  • Additional history of events including post event drowsiness, incontinence or injuries during events
  • Past treatments/medications offered and efficacy Including previous acute anticonvulsant management
  • Other neurological or development conditions present
  • Either:
    • current developmental status (age appropriate, some delay, significant delay) OR
    • brief comment on current school educational attainments (good, average, poor, very poor [>2 years behind])
  • Any previous EEG results (note advice on ordering EEGs in other useful information section. Generally it is not required to order an EEG for referral. If previous results are available please include with referral)

Desirable Information- will assist at consultation.

  • Other past medical history
  • Immunisation history
  • Developmental history
  • Medication history
  • Significant psychosocial risk factors (especially parents mental health, family violence, housing and financial stress, Department of Children, Youth Justice and Multicultural Affairs involvement)
  • Height/weight/head circumference and growth charts with prior measurements if available.
  • Other physical examination findings inclusive of CNS, birth marks or dysmorphology
  • Any relevant laboratory results or medical imaging reports, urinalysis result

4. Request

Last updated: 13 June 2023