ADHD or Autism (ASD) referral request

Use this form to make an ADHD or Autism (ASD) referral request.

We will review your request and send you the appropriate questionnaires for completion.

You do not need a GP appointment at this stage – we will advise you if you do.

If you choose to go privately (right to choose) you will not be entitled to NHS prescriptions for this.

ADHD or Autism (ASD) Referral Request

Section

I would like to be referred: *
Please specify the condition for which you are seeking a referral: *