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 electronically or by hand, and upload the completed questionnaires in PDF format to your Patient Portal AT LEAST 14 DAYS prior to your initial appointment, otherwise your appointment will be cancelled by the clinic.
Doctor
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)
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)
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
Consultant Psychiatrist
Dr Yu-Tang Shen
FOR ADULT ADHD ASSESSMENT
For Adult ADHD Patients:
Adult ADHD Questionnaire (For patient)
For Adult ADHD – Parents or Relatives:
Adult ADHD Questionnaire (For Parents or Relatives)
FOR AUTISM SPECTRUM (ASD) ASSESSMENT
For ASD Patients to Complete:
Autism Self Assessment
For ASD Informant:
Autism Screening Informant
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)
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)
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)
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