Advice and resources : Autism and ADHD additional information documents
Key information
Advice for filling in the additional information document and online referral form
This information is for children and young people who may have autism and/or ADHD.
Complete the Additional Information Form with the family and a professional who knows the child well, preferably their school or nursery.
Some questions repeat in the online referral form. If a question has already been answered in the Additional Information Form, write: "Refer to Additional Information Form".
Formatting changes will not affect our ability to review the form.
Download and save the relevant document below before editing and uploading it to the online referral form.
If you close the online referral form before submitting it, your information will not be saved. Please complete the form once you are ready to enter all of the information and submit it.
When completing your referral you can upload two documents: the Additional Information Form and the support plan.
Autism assessment only
Age 2 years 6 months to 4 years
Please download and fill in this form for an autism assessment for a child aged 2 years 6 months to 4 years.
Possible Autism 2Y6m 4Y Additional Information Form
File size: 75 KB
Age 5 to 17 years 5 months
Please fill in this form for autism assessment for a child or young person aged 5 to 17 years 5 months.
Possible Autism 5 17Y5m Additional Information Form
File size: 75 KB
ADHD assessment only
Age 6 to 17 years
Please fill in this form for ADHD assessment for a child or young person aged 6 to 17 years.
Possible Adhd 6 17Y Additional Information Form
File size: 64 KB
Both autism and ADHD assessments
Autism assessment (5 years to 17 years 5 months) AND ADHD assessment (6 to 17 years)
Please fill in this form for autism assessment (child or young person aged 5 years to 17 years 5 months) AND ADHD assessment (child or young person aged 6 to 17 years).
Possible Autism 5 17Y5m And Possible ADHD 6 17Y Additional Information Form
ADHD medication request
Existing ADHD diagnosis (age 6-17 years)
Please fill in this form if the child/young person has an existing ADHD diagnosis and you'd like to make a request to consider starting ADHD medication (age 6-17 years).
Existing ADHD Diagnosis And Request To Consider Starting ADHD Medication Additional Information Form
Existing ADHD diagnosis and already taking ADHD medication (age 6-17 years)
Please fill in this form if the child/young person has an existing ADHD diagnosis and is already taking ADHD medication (age 6-17 years) and you would like to request taking over ADHD medication.