I consent for my child to attend an Autism and ADHD assessment at The Children's Wellness Centre, provided by a multidisciplinary team of a Clinical Psychologist, Specialist Speech and Language Therapist and Paediatrician

I understand that a mental health assessment will be completed as part of my child’s ADHD assessment

I am aware that the Clinical Psychologist will be acting as the lead professional throughout my child's assessment, and will liaise with the other team members in order to determine the final outcome

I understand that a private assessment does not guarantee a diagnosis, neither does a referral from CAMHS or a GP

I understand I can withdraw my consent at any time, although withdrawal of consent will not necessarily be reflected in the fees due

I am aware that part of the Autism Assessment involves a paediatric physical examination, provided by Dr Gupta at the Nuffield Hospital in Tunbridge Wells. I am aware that information and client data will be shared between The Children's Wellness Centre and Dr Gupta's medical clinic/The Nuffield Hospital

I understand that Dr Gupta's clinic partners with The Children's Wellness Centre to provide this part of the assessment, in line with NICE guidance, however I am aware that the Nuffield Hospital is a separate entity to The Children's Wellness Centre and may have their own terms and conditions in relation to cancellations

I consent and understand that The Children's Wellness Centre will liaise with my child's school regarding this assessment

I understand that a school observation of my child will be carried out, but to ensure the validity of the results neither myself or my child will be informed of the exact date of this observation. In some cases, if a child is not in school, a QbCheck computer test may be used during the assessment instead

I understand that between booking and the date of the Assessment, if my child is absent from school I must email The Children's Wellness Centre (via the email address office@childrenswellnesscentre.co.uk) on the morning of the absence, prior to the school day starting, in case the school observation is planned for that day

I am aware that if I do not let The Children's Wellness Centre know of my child’s absence and the Clinician visits the school on that date, there will be an additional fee charged of £250 to re-arrange and travel back to the school on an alternative date

I understand that even with all the information obtained, including the school observation, additional data may be needed to ensure the validity of the final result. In this case, for the benefit of the assessment, my child may be asked during the assessment to take part in a short computer task, called a QbCheck. If this is needed, there will be an additional fee of £85.00 billed after the assessment. The QbCheck is not added to every assessment, as often it is not needed and we strive to keep fees as low as we can for families

I am aware that for two parent families, it is best practice for both parents to attend the appointments. For parents who are separated, it is the responsibility of the parent booking the assessment to inform the other of this, as long as both parents share parental responsibility

I understand that the Clinical Psychologist is unable to edit the results of the assessment or change observations included in the written report

I agree to the use of electronic communication. All documents will be password protected and saved as a PDF

Our Clinicians will adopt a client-led approach and will offer advice, support and options for next steps, but it is the client’s responsibility to decide what is right for their child

The Clinicians that you are seeing are DBS checked and hold Professional Indemnity insurance, practicing within the framework of their profession and registrations

The Psychologist reserves the right not to accept a referral, terminate an assessment or not to circulate an assessment report if the referral appears to be outside their area of expertise or the client fails to comply with the terms and conditions set out in this agreement

Payment for assessments is required at the time of booking, in order to secure the space. We can accept a 50% payment on the day of booking and the remaining 50% can be paid no later than 7 days before the ADHD/Mental Health assessment date

Payment is made via bank transfer and clients will receive an email invoice once they have booked. Your assessment is confirmed on receipt of payment

Due to extensive waiting lists, we have a 10 day cancellation or date amendment policy for assessments, although if some notice is given we will strive to always offer another slot. Late cancellations and missed appointments, will still need to be charged in full

Once payment is received for the assessment, there will be a 3-day grace period in which the client can cancel the assessment at no charge (as long as it is within 10 days of the assessment date). We will begin the process of liaising with the school after this. If the School Observation has been carried out, and the Client decides to cancel after the 3-day grace period and before 10 days prior to the assessment, the Client will receive a full refund for the assessment, minus £250 for the time taken to carry out the School Observation. An additional £150 will be deducted from the refund for the administration and screening costs

For any clients claiming through their health insurance, payment must be settled directly with The Children’s Wellness Centre by the client and can strive to be reclaimed via their insurance provider, using the receipt we can provide

Our complaints policy can be accessed at the footer of our website. If the client has a complaint against a Clinician that they are seeing, they must inform The Children’s Wellness Centre, emailing tammy@childrenswellnesscentre.co.uk immediately and all efforts will be made to resolve and settle any disputes, without litigation

I confirm I have read The Children's Wellness Centre policies (Privacy, Information Sharing, Confidentiality, Complaints, Zero Tolerance, Covid-19 and Illness policies), accessed via the policies page

I can confirm I have read The Children’s Wellness Centre full terms and conditions found at https://www.childrenswellnesscentre.co.uk/terms-conditions/