ADHD Referral

If you have been advised by the surgery to submit an attention deficit hyperactivity disorder (ADHD) referral, please use this form.

ADHD Referral

Please complete all the questions below. These are needed before your GP can refer you to your chosen assessment clinic, who will carry out a thorough assessment.

We will contact you if we require more information, or let you know if we have completed a referral to your chosen assessment clinic. If you have not heard from us in the next two weeks, please contact us though the practice website.

The waiting times are particularly long for the neurodevelopmental clinic. You can read more about this, including details of the assessment process, waiting times and information about additional support on the Sussex Partnership NHS website.

We can refer you for ADHD assessment to the Brighton NHS Neuro-behavioural service or to the NHS "Right to Choose" providers, based in different parts of the country. We are currently aware of NHS funded "Right to Choose" providers: Psychiatry UK and ADHD 360 who offer remote assessment and treatment. There may be other NHS funded providers we are not informed about. For more information on Right to Choose and a list of up to date providers, please visit: Right to Choose - ADHD UK. All NHS providers usually have extensive waiting lists. You can also choose to fund the assessment and treatment privately.

Important - Any examination or tests required for a diagnosis of, or prescribing for ADHD, will need to be carried out by the specialist clinics.

If ADHD is diagnosed, and if medication is indicated, it will be the responsibility of your chosen specialist to initiate, prescribe and monitor the medication initially (at the least for 3 months) and not in general practice.

This will include private clinics and you should ensure that you can afford initial prescription charges and on-going private consultations during the length of your treatment- this will include mandatory annual reviews.

Please check that your specialist can offer all aspects of prescribing and relevant monitoring before requesting a referral.

Please select one option below: *

You will need to do some research for yourself, to decide which 'Right to Choose' (information available earlier in the form) provider you would like to be seen by - we are unable to explicitly recommend a provider.

Below are some examples of providers, please choose one or enter your own: *
Please be aware that if you do not provide us with a selection, your referral will not be processed
Do you already have a diagnosis of Autistic Spectrum Condition, ADHD, Tourettes, Dyslexia or learning disability? *
Did you have any difficulties at school? *
Did you attend a special school? *
Have you had any difficulties at work or University? *
Do you have any physical health conditions or high blood pressure? *
Do you take any medications? *
Do you take illicit drugs? *
Do you have a current or past history of mental health problems? *

Reason you are requesting an assessment

Please answer the questions below, rating yourself on each of the criteria shown using the scale based on which option best describes how you have felt and conducted yourself over the past 6 months.

Part A

How often do you have trouble wrapping up the final details of a project, once the challenging parts have been done? *
How often do you have difficulty getting things in order when you have to do a task that requires organization? *
How often do you have problems remembering appointments or obligations? *
When you have a task that requires a lot of thought, how often do you avoid or delay getting started? *
How often do you fidget or squirm with your hands or feet when you have to sit down for a long time? *
How often do you feel overly active and compelled to do things, like you were driven by a motor? *

Part B

How often do you make careless mistakes when you have to work on a boring or difficult project? *
How often do you have difficulty keeping your attention when you are doing boring or repetitive work? *
How often do you have difficulty concentrating on what people say to you, even when they are speaking to you directly? *
How often do you misplace or have difficulty finding things at home or work? *
How often are you distracted by activity or noise around you? *
How often do you leave your seat in meetings or other situation in which you are expected to remain seated? *
How often do you feel restless or fidgety? *
How often do you have difficulty unwinding and relaxing when you have time to yourself? *
How often do you find yourself talking too much when you are in social situations? *
When you’re in a conversation, how often do you find yourself finishing the sentences of the people you are talking to, before they can finish them themselves? *
How often do you have difficulty waiting your turn in situations when turn taking is required? *
How often do you interrupt others when they are busy? *