Contact — Professor Patrick Bolton

Existing Patient Reviews

Availability

Zoom Call Review: Tuesday 16:00-20:00 Wednesday 10:00-20:00 Thursday 10:00-20:00

In Person Review: Thursday 16:00-20:00

Please Email Prof.P.Bolton@gmail.com to request an appointment and give preferred dates + times.

Repeat Prescriptions

Please Complete the Repeat Prescription Request Form Below

New Patients

I AM NO LONGER ACCEPTING NEW REFERRALS AND MY WAITING LIST IS CLOSED

New Patient Enquiry

ENQUIRY
Repeat Prescription

CLICK HERE

New Patient Enquiry

Child's Name

First Name

Last Name

Date of Birth

Nationality:

Gender:

Male

Female

First Language Spoken:

Any Disability?:

School:

School Contact:

GP contact details (name, address and email):

Mental health specialists involved:

Other professionals involved:

Parent/Carers Names:

Relationship to Child:

Please confirm that consultation is approved by all with parental authority.

Yes

Home Address:

Mobile:

Country

(###)

###

####

Clinical Details:
Family History of Medical / Mental Health Problems (parents+siblings):

Current Concerns
Please briefly describe your concerns and what would you like help with.

Any history of self-harm or suicidal thoughts / attempts (if so when).

Repeat Prescription

Child's Name

First Name

Last Name

Child's Date of Birth

YYYY

Address:

Post Code

Current medication: (Drug, Dose, Frequency)

Contact Us

Email:

Prof.P.Bolton@gmail.com

Telephone:

0330 122 9132

By appointment only

Private Rooms,

35 Great James Street

London

WC1N 3HB

Existing Patient Reviews

Repeat Prescriptions

New Patients

New Patient Enquiry

Repeat Prescription

New Patient Enquiry

Repeat Prescription

Contact Us

Farrar Bolton Ltd