To clarify the current situation of regional epilepsy care and its dissociation from the regional cooperative model for comprehensive epilepsy care, we retrospectively investigated the consecutive sample survey of epilepsy clinic of 1 certified epileptologist at Kyoto university hospital by means of inter-hospital network system from April 2013 to March 2016. Total 313 patients were introduced and the diagnoses were as follows; partial epilepsy: 115, generalized epilepsy: 67, isolated seizure: 53, psychogenic non epileptic seizure: 17, syncope: 34 etc. Referring purposes were different between epileptologists and non-epileptologists. The main referring purposes from epileptologists were related to surgical treatment, whereas those from non-epileptologists were related to diagnosis, medication and driving license and so on. As for transition, there were few consultations from pediatric neurologists. Based on these findings, it is necessary to prepare document and medical guidance in daily life for patients with epilepsy according to the referring purposes. Additionally, it is also important to provide information and educational opportunity of comprehensive epilepsy care for non-epileptologists in collaboration with other departments and conferences in order to promote transition in the future.