ADHD Consent Form Adult

Consent to ADHD Assessment and Treatment – Adult

This form is to obtain consent for ADHD assessment and potential treatment

Patient Information

Consent to Assessment and Treatment

Consent(Required)
Consent(Required)
Consent(Required)
Consent(Required)
Consent(Required)

Information Sharing Consent

Please tick to confirm your consent for the following:
Consent(Required)
Consent(Required)

Safeguarding and Confidentiality

All personal information will be handled in accordance with the Data Protection Act 2018 and GDPR. Your information is confidential and will not be shared without your permission unless there is a legal obligation or risk of harm to yourself or others. In such cases, the associated assessor is required to contact appropriate safeguarding services or emergency services.

Right to Withdraw

You have the right to withdraw your consent at any time. This will not affect the care you have received up to that point.

Signatures

MM slash DD slash YYYY
consent(Required)
Agree(Required)
Terms & Conditions(Required)