Patient forms

Dr Foote regrets that a reduction in his availability means he cannot accept any clients (private or ACC) for ongoing treatment. He remains available for ACC and VA assessments, and diagnostic clarification reviews

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