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Provider Referral

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We’re here to partner with you

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Assessment Referral

We’re always accepting new patients via referral. Refer your patient or student to us for a formal ADHD Assessment by a licensed psychologist.

Treatment Referral

Complete a referral so your patient with an ADHD Online diagnosis can start or continue telemedicine treatment seamlessly. We’re always here to collaborate with you on the care of your patient.

Looking to take our assessment? That’s available all day, every day, whenever and wherever is best for you!

ADHD Online will be closed on Monday, May 27, 2024, in observance of the Memorial Day holiday.

Live support will be unavailable on Monday, May 27. Send us an email or leave a message, and we’ll get back to you as soon as possible when we return on Tuesday, May 28.

Please note that each clinician sets their holiday hours and may be processing your requests during this time or may also be out.

The system is experiencing technical issues scheduling new appointments.

We apologize for any inconvenience this may cause you. We understand the importance of making an appointment, and this issue is our top priority.

Please reach out to us via chat or call us at 888-493-ADHD (2343) and we will assist you. If we are not available, please leave us a message and we’ll get back to you as soon as possible.

The ADHD Online Team

Provide this form to your local practitioner. You could:

  • Send this link
  • Email the pdf
  • Print it out and bring it to your appointment

Ask your practitioner
to complete the form

In this form, your practitioner will request that ADHD Online continue to provide uninterrupted care

Return the form to us

You or your practitioner can return this form to us via email or fax it to 616-210-3118