Patient forms

Dr Foote regrets that a reduction in his hours means he cannot accept private clients (for assessment or treatment) from 01/01/2023.

New patient form – please complete prior to your initial appointment

Medication and substance use history form – completing this accurately prior to your initial appointment will free up a lot if time for other matters

Visit form – complete this prior to your first or follow-up visit, to give your clinician an overview of your situation and your priorities for the appointment

ADHD self-report – WFIRS-S

ADHD self-report – ASRS

Feedback form – we welcome your feedback. If you prefer, give your feedback online