Autism or ADHD in Children

Do you think your child has Autism?

Firstly, you will need to request a school report on headed paper from your child’s school then,

Please complete the forms below and email them to bushloesurgery@nhs.net

Past and Present Behaviour Schedule

If your child is between 4 and 11 years please also complete these 2 forms

AQ10 (child version)

ASRS Scoring Tool

If your child is 12 – 15 years please also complete these 2 forms

AQ10 12 – 15 years

Age 11 & over ADHD ASD CYP form

Do you think your child has ADHD?

Firstly, you will need to request a school report on headed paper from your child’s school then,

If your child is below 11 years please complete the form below and email this along with the school report to bushloesurgery@nhs.net

ASRS 18 Scoring Tool

or, if your child is 11 and over, please complete the form below and email this along with the school report to bushloesurgery@nhs.net

ADHD ASD CYP form

Do you think your child has ADHD and Autism?

You will need to request a school report on headed paper from your child’s school

Past and Present Behaviour Schedule

If your child is aged 4 -11 years, please also complete the forms below and send all 3 to bushloesurgery@nhs.net

AQ10 (child version)

ASRS 18 Scoring Tool

If your child is 11 and over, please also complete the forms below and send all 3 to bushloesurgery@nhs.net

AQ10 12 – 15 years

ADHD ASD CYP form