I’m pleased to accept referrals from family physicians, paediatricians, psychologists, social workers and behavioural health consultants.
A letter to my office is helpful and ensures that I will write back to you with my opinion.
My usual routine is to assess the patient over one or more one hour visits, then if the diagnosis is confirmed, start treatment if the patient is interested. I then follow the patient for 6-12 months till we have the right medication(s) at the right doses and duration. At that point I suggest the patient may want to discuss with their family doctor about being followed by them.
We don’t ever close a patient’s file so they can come back at any point.
If the family doctor would rather manage medication themselves from the beginning, then simply indicate this on the referral letter ‘assessment only’.
If the doctor wants to manage medication but doesn’t specify ‘assessment only’ then I’ll usually start a prescription, with instructions on how to adjust the medication if needed in the first two weeks till they can get in to the family doctor.
Some family doctors would rather have me deal with medication long term and that’s fine too as long as I’m still around. Currently the idea is this will be several years at least.
If you are writing to refer to me and have any screening questionnaires, or previous psychoeducational reports, I’d be glad to see them.
I am interested in your opinion – are you seeing symptoms of ADHD? Does anyone else in the family have ADHD? Is there a history of addiction, or family history of mental health problems? Even something as simple as your brief observation about them being on time or missing appointments or being hard on staff or not following instructions, or not seeing these symptoms is useful.
If you’re in a rush (and I was a family doctor too remember) a quick note – please see for possible ADHD will get the ball rolling.