What Service are you seeking?
- If you are seeking psychological therapy/ coaching for ADHD please complete the below form
- If you are seeking an ADHD Assessment (or ADHD Screen for Insurance) please follow this link (Adults only)
- If you are seeking medication for ADHD please follow this link (ages 11 and above)
Self Referral for Therapy/ Coaching
By completing the below form we will be able to direct you to the most suitable therapist in our team. Our self referral form requests personal information. We take the privacy and security of personal data very seriously. This form is collected and processed in line with strict GDPR guidance. For further information please see our Privacy Policy and GDPR Policy Document.
Self Referral Form On Hold
Due to high demand for therapy, we have temporarily put our Therapy Self- Referral Form on hold. We are hoping this will only be for a few weeks. We are presently recruiting more therapists.
Please revisit again in 7 days