ADHDdoc – ADHD Clinic Dublin

Request Confirmation of Diagnosis

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Request Confirmation of Diagnosis

If you have have a diagnosis of ADHD from another service, complete the form below to request confirmation of diagnosis

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Your First Name*

Your Last Name*

Your Phone Number*

Your Email*

Your Date of Birth*

Your GP*

Upload your previous diagnosis reports (PDF)*

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Accepted file types: pdf, Max. file size: 10 MB, Max. files: 10.

Name

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