Adult ADHD or autism (ASD) referral request

Use this service to request a referral for an assessment for ADHD or autism (ASD) if you are aged 18 or over.

You can use this service if you:

• are registered at the surgery

Before you start

We’ll ask you for:

• your first and last name, date of birth, sex, postcode, email and phone number
• if applicable, the details of the person you are completing the form on behalf of

Start now

You can also phone us on 01362 692916.