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New Patient Pre-appointment Questionnaire

New Patient Pre-appointment Questionnaire

If you have an initial appointment with one of our Doctors or Allied Health Professionals below, you are required to complete a New Patient Pre-appointment Questionnaire. 

The questionnaires are in PDF format (unless specified), please complete the questionnaire electronnically or by hand, and upload the completed questionnaires in PDF format to your Patient Portal AT LEAST 7 DAYS prior to your initial appointment, otherwise your appointment will be cancelled by the clinic.

Doctor

Dr Charles Chan Mind Oasis Clinic

Consultant Psychiatrist
Dr Charles Chan

For Adult ADHD Patients:
Adult ADHD Questionnaire (For patient)

 

For Adult ADHD – Parents or Relatives:
Adult ADHD Questionnaire (For Parents or Relatives)

Dr Sukumar Rajendran Mind Oasis Clinic

Consultant Psychiatrist
Dr Sukumar Rajendran

For Adult ADHD Patients:
Adult ADHD Questionnaire (For patient)

 

For Adult ADHD – Parents or Relatives:
Adult ADHD Questionnaire (For Parents or Relatives)

Dr Clint Pistilli psychiatrist Mind Oasis Clinic Strathfield

Consultant Psychiatrist
Dr Clint Pistilli

(All of the below questionnaires are google documents, please complete it electronically and the results will be sent to Dr Pistilli directly.)

FOR INTELLECTUAL DISABILITY PATIENTS ONLY
(For Carer and Support Provider to complete)

Intellectual Disability – Pre-appointment Questionnaire

To Complete FOLLOWING their First Appointment:
Intellectual Disability – Progress Report

 

 

FOR ADULT ADHD ASSESSMENT

For Adult ADHD Patients to Complete:
Adult ADHD – Pre-appointment Questionnaire

For Patients and their Carers to Complete FOLLOWING their First Appointment:
Adult ADHD – Post-appointment Questionnaire

 

FOR AUTISM SPECTRUM (ASD) ASSESSMENT

For ASD Patients to Complete:
ASD – Pre-appointment Questionnaire

For Patients and their Carers to Complete FOLLOWING their First Appointment:
ASD – Post-appointment Questionnaire

 

Dr Yu-Tang Shen Psychiatrist Mind Oasis Clinic Strathfield

Consultant Psychiatrist
Dr Yu-Tang Shen

For Adult ADHD Patients:
Adult ADHD Questionnaire (For patient)

 

For Adult ADHD – Parents or Relatives: 
Adult ADHD Questionnaire (For Parents or Relatives)

Dr Sukumar Rajendran Mind Oasis Clinic

Consultant Psychiatrist
Dr Brandon Sullivan

For Adult ADHD Patients: 
Adult ADHD Questionnaire (For patient)

 

For Adult ADHD – Parents or Relatives:
Adult ADHD Questionnaire (For Parents or Relatives)

Dr Sukumar Rajendran Mind Oasis Clinic

Consultant Psychiatrist
Dr Naveen Nataraj

For Adult ADHD Patients:
Adult ADHD Questionnaire (For patient)

 

For Adult ADHD – Parents or Relatives:
Adult ADHD Questionnaire (For Parents or Relatives)

Dr Namrata Shetty Mind Oasis Clinic

Consultant Psychiatrist
Dr Pek Ang

For Adult ADHD Patients:
Adult ADHD Questionnaire (For patient)

 

For Adult ADHD – Parents or Relatives:
Adult ADHD Questionnaire (For Parents or Relatives)

Dr William Ackers Mind Oasis Clinic

Consultant Psychiatrist
Dr William Ackers

For Adult ADHD Patients:
Adult ADHD Questionnaire (For patient)

 

For Adult ADHD – Parents or Relatives:
Adult ADHD Questionnaire (For Parents or Relatives)

 

For Child and Adolescent Patients – Parents:
Developmental Questionnaire

Wiess Symptom Record

Allied Health Professionals

Elizabeth (Lisa) Grauang - Mind Oasis Clinic

Registered Psychologist
Elizabeth Grauaug

DASS21