ADHD Consent Form CYP

Consent to ADHD Assessment and Treatment

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 data will be handled in line with the Data Protection Act 2018 and GDPR. Information is confidential unless there is a concern about the safety or wellbeing of your child or others. If any risk is identified, ADH-ME has a legal and ethical obligation to report concerns to the appropriate local safeguarding team or social services.

Right to Withdraw

Participation is voluntary. You may withdraw your consent at any time. Doing so will not affect any care already provided.

Signatures

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