Existing Patient Booking Existing Patient Booking Home Existing Patient Booking SALUTATION : select the optionDrMrMrsMsMasterMiss FULL NAME : MOBILE NUMBER : EMAIL : DATE OF BIRTH: WHAT SERVICES WOULD YOU LIKE TO BOOK : select the optionDr. Dorgival Caetano WHICH PATIENT TYPE ARE YOU? : Please note we are a private clinic and do not offer bulk-billing service. select the optionPrivate patient – MedicarePrivate patient – No MedicareWorkcoverCTPMedico-LegalOthers MAIN PRESENTING PROBLEM: select the optionAdult ADHDAnxiety DisorderBipolar DisorderChronic painDepressionDrug & AlcoholPTSDIntellectual Disability (Includes ASD)Old Age PsychiatryGeneral Paediatric conditionsDevelopmental Paediatric conditionsWorkcover / CTPMedico-legalOther conditions (please state in the message box below) HOW DID YOU HEAR ABOUT US? : Please select all that apply Referral from GPReferral from SpecialistReferral from PsychologistMedia (e.g. TV, Radio etc.)Google searchGoogle mapGoogle adsWord of mouth UPLOAD YOUR REFERRAL LETTER : A referral letter is compulsory at the time of booking request. This is essential for us to assess the suitability. We only accept PDF (preferred) or JPG. https://www.myadhdcentre.com.au/existing-patient-booking/