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Important: COVID-19 Information

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Hello!

Let us know how we can help.
Complete this form and we'll be in touch as soon as possible.

A note regarding OCCUPATIONAL THERAPY: Unfortunately we do not have capacity to provide occupational therapy services at the moment. You are welcome to email us with your contact details so that we can let you know when these services become available again. Please send an email to admin@hobartadhd.com.au (instead of completing this contact form, thankyou)

Select the option which best describes you:*
If you have multiple enquiries, and there is more than one option that applies to you for these enquiries, please complete a seperate contact form for each option that applies.
- I am enquiring about services for myself (and am 16 years or older)
- I am enquiring about services in relation to my child who is under 18 years old
- I am enquiring in my professional capacity or on behalf of my workplace
- I am enquiring about something else
Your location*
What is your postcode?*
We'd like to be able to help you at some stage soon...*
We hope to be able to provide services for individuals outside of Tasmania in the near future. Unfortunately we do not have capacity right at this moment. Would you like us to notify you via email when we do have services available for your area? Please tick 'Yes' if so, and be sure to submit this form.
- Yes, please email me with any updates on this
- No
Your name*
First Last
Your phone number*
Your email*
Your date of birth*
How can we help?*
- I'd like to be added to the waitlist for an ADHD assessment or for psychological ADHD treatment services for myself
- I'd like to be added to the waitlist for cognitive or educational assessment for myself
- I'd like something else
(Tick all that apply)
Do you have an ADHD diagnosis?*
- No, ADHD is not suspected
- No, but ADHD is suspected
- Yes, I have been assessed and diagnosed with ADHD by a psychiatrist, psychologist or paediatrician
- Yes, but I am seeking a second opinion assessment
IF YOU ARE ABOUT TO BE OR ARE CURRENTLY BEING ASSESSED please tick 'No, but ADHD is suspected' here. If you provide some additional information in the last question on this form (i.e. who will be/is providing your assessment, and when), we will be able to provide the most helpful response for you.
Your child's name*
First Last
Your child's date of birth*
Your child's grade level, and the name of the school they are currently attending*
How can we help?*
- I'd like my child to be added to the waitlist for an ADHD assessment
- I'd like my child/family to be added to the waitlist for psychological ADHD treatment services
- I'd like my child to be added to the waitlist for a cognitive or educational assessment
- I'd like something else
(Tick all that apply)
Does your child have an ADHD diagnosis?*
- No, ADHD is not suspected
- No, but ADHD is suspected
- Yes, ADHD has been formally assessed and diagnosed by a paediatrician, psychiatrist or psychologist
- Yes, but I am seeking a second opinion assessment
IF YOUR CHILD RECEIVES A DIAGNOSIS AFTER SUBMITTING THIS FORM please let us know so that we can prevent any unnecessary wait times for you for to services of interest. IF YOUR CHILD IS ABOUT TO BE OR IS CURRENTLY BEING ASSESSED please tick 'No, but ADHD is suspected' here. If you provide some additional information in the last question on this form (i.e. who will be/is providing your child's assessment, and when), we will be able to provide the most helpful response for you.
We will send you confirmation of being added to our waitlist within ten business days of submitting this form. To ensure that you are not waitlisted any longer than necessary, please tell us: Have you or any other family members (in your household) already accessed one or our services, or are on a waitlist for one of our services?*
- No
- Yes, I have accessed one of your services already
- Yes, I am on a waitlist for one of your services
- Yes, a family member has already accessed one of your services
- Yes, a family member is on a waitlist for one of your services
We will send you confirmation of your child being added to our waitlist* within ten business days of submitting this form. To ensure that you are not waitlisted any longer than necessary, please tell us: Have you or any other family members (in your household) already accessed one or our services, or are on a waitlist for one of our services?*
- No
- Yes, I have accessed one of your services already
- Yes, I am on a waitlist for one of your services
- Yes, a family member has already accessed one of your services
- Yes, a family member is on a waitlist for one of your services
*If you are wanting your child to receive psychological treatment for ADHD (and you have not yet completed our 'Supporting and coaching your child with ADHD course') you will also receive information about our Family program. This will outline some important steps you will need to take before your child can be seen.
Please provide the full name and date of birth of the first family member who accessed our services, or was added to a waitlist:*
Please provide details about your enquiry here*
Is there anything else you need to let us know so that we can best respond to your enquiry?
How did you hear about us?*

Phone: 03 6240 5409

Email: admin@hobartadhd.com.au

Post: PO Box 70, Rosny Park, 7018

Located at:
11 Percy Street,
Bellerive, TAS 7018

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