People with epilepsy face barriers to timely and adequate care, despite evidence that patients with poorly controlled seizures benefit substantially from seeing a neurologist or an epileptologist. Data on patterns of diagnostic evaluation of seizures, being on antiepileptic drugs (AED), AED adherence, and follow-up care remains limited. Few studies have evaluated the occurrence of negative health events (NHEs) such as emergency department (ED) visits and hospitalizations, which may be associated with poor epilepsy control. Failure to access timely and appropriate care can result in these NHEs, while PWE who are seen by a neurologist may be more likely to undergo diagnostic testing and receive appropriate follow-up.