ADHD & Autism Right to Choose

Use this form to request a referral under the Right to Choose scheme for an ADHD and/or Autism assessment.

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

Start now

You can also phone us on 01842 752285.