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Professional Referral Form

If you are a clinician or professional looking to refer someone for an autism, ADHD or combined autism and ADHD assessment, please complete the referral form below. Please provide as much information as possible so that we can understand the referral and contact you if we need any further information.

Professional Referral Form

Please note that we do not offer Right to Choose assessments at this time.

Child ADHD assessments are for children 7 years and over only.

Referrer Details:

Client Details:

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