Join Us | My Epilepsy Key

Please register your MyEpilepsyKey

MyEpilepsyKey is a free resource produced by Epilepsy Action to assist people affected by epilepsy through the process of managing the condition. We ask you to register and provide some basic information so we can provide the best possible service to you. Rest assured, your information will not be shared with anyone outside the organisation without your written consent.

By registering, you consent for Epilepsy Action Australia to keep your details in a confidential record. For information regarding our Privacy Policy, please click here.

Not yet Registered your MyEpilepsyKey? You can do that here

Membership Details

Country
Zipcode
Zipcode
First Name *
Last Name *
User Name *
Password *
Email *
Phone *
City *
Post Code *
State *State
Date of Birth *Date of Birth - US format (mm/dd/yyyy)
Registering As *
Child First Name(if registering as a Parent)
Child Date of BirthChild Date of Birth (US format - mm/dd/yyyy)
Child Surname(if registering as Parent)
Membership Level *KeyHolder

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