Contact — Professor Patrick Bolton

Reviews of Existing Patients

Please Note That It Is Now a CQC Requirement That You Provide Proof of ID for Yourself and Your Child When First Booking.

Availability

Zoom Call Review: Tuesday 16:00-19:30 Wednesday 10:00-19:30

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

Please Use the Button Below to Select the Type (Video / In Person) and Duration (30/60 mins) of the Appointment

Repeat Prescriptions

Please Complete The Repeat prescription Form Below

New Patients

I am Currently Only Accepting Referrals for ADHD Assessments

Please Complete the New Patient Enquiry Form Below

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

Reviews of Existing Patients

Repeat Prescriptions

New Patients

New Patient Enquiry

Repeat Prescription

New Patient Enquiry

Repeat Prescription

Contact Us

Farrar Bolton Ltd