Contact Us — London Neurodiversity Clinic

To arrange an assessment please complete the below form

Prior to submitting this form, please read our privacy policy.

Parent/ carer's name

Parent/ carer's email

Contact telephone number

Referring clinician (name and profession)

Referrals for assessment need to come via a clinician involved in your child's care (e.g., GP, psychiatrist or other mental health professional)

Please confirm you have parental responsibility for the child?

Yes, I have parental responsibility

Child's age

Child's date of birth

Child's name

What are the main concern(s) leading to your request for an assessment with the London Neurodiversity Clinic

Has your child previously had a cognitive/ educational psychology assessment?

If yes, please include the date of this previous assessment

I confirm and consent to the privacy policy, see link at the top of this form.

Yes

To make an enquiry, email Pari Walker, Clinic Administrator

CLINIC ADMINISTRATOR:  Pari Walker

EMAIL:  pari@walkerpost.co.uk