ADHD Assessment & Diagnosis in the Sutherland Shire
- ADHD assessment & diagnosis
- Medication initiation
- Follow-up reviews
- No referral needed
- Ages 6 and over
GP-Led ADHD Assessment in Sutherland, No Referral Needed
Recent NSW Health reforms allow GPs who have completed advanced Tier 2 training, known as endorsed prescribers, to assess and diagnose ADHD and to start ADHD medication where it’s clinically appropriate. Dr Katrina Mikhail has completed this training and is a Tier 2 Endorsed Prescriber, so eligible children and adults in the Sutherland Shire can go from a first ADHD assessment to an ongoing management plan with the same GP, without a referral to a psychiatrist or paediatrician.
Our practice is at 154 Flora Street, Sutherland, a short walk from Sutherland Station, and an easy trip from nearby suburbs such as Jannali, Gymea, Miranda, Engadine and Menai.
New to ADHD assessment? No referral is required. Call our reception team on 02 9545 1777 to discuss booking an initial assessment appointment with Dr Mikhail. Assessment appointments are not available to book online — please call first.
Meet Dr Katrina Mikhail, Tier 2 Endorsed GP Prescriber
BMedSt/MD, FRACGP
Dr Katrina Mikhail is one of a select group of GPs in NSW to complete the Tier 2 Endorsed Prescriber training through the NSW Health ADHD in General Practice program. This advanced, competency-based training enables her to assess, diagnose, and initiate ADHD medication, in addition to providing follow-up reviews for existing patients.
Dr Mikhail has particular clinical interests in ADHD management, paediatrics, chronic health management, preventative care, and women’s health.
New ADHD Assessments and Follow-Up Reviews
Our ADHD Assessment & Diagnosis service covers both initial assessment and follow-up reviews.
New ADHD Assessment & Diagnosis
Not yet diagnosed · No referral needed
- You have not yet been assessed or diagnosed with ADHD
- Dr Mikhail will assess, diagnose, and where appropriate, initiate medication
- No referral required — call to book directly
- Ages 6 and over
- Questionnaires must be completed before your appointment
- Fee: $690 — $130 non-refundable deposit at booking
Follow-up Reviews
ADHD is a chronic condition and requires close monitoring and adjustment. Follow-up appointments will be required for most patients.
- You have a confirmed ADHD diagnosis that was assessed by Shire Family Medical
- You have been advised you need a follow-up review. Shire Family Medical will recommend either a 15-minute or 30-minute appointment.
- Before you leave the clinic, we can book your follow-up review for a future date.
- Follow-up reviews are charged at general consultation rates which vary by duration of day of week.
What Happens at Your ADHD Assessment
The initial ADHD assessment is structured across two parts in the same visit, totalling 1 hour and 15 minutes.
Nurse Appointment
You will first meet with our practice nurse, who will review and total your completed questionnaires and take baseline measurements which may include blood pressure, heart rate, height, weight, and BMI.
GP Assessment with Dr Mikhail
A detailed clinical assessment with Dr Katrina Mikhail, covering your history, symptoms across settings, childhood presentation, and current functioning. Dr Mikhail will review your completed questionnaires, discuss findings, and advise on diagnosis and next steps, including whether medication is appropriate.
Outcome & Next Steps
Dr Mikhail will discuss whether ADHD is diagnosed, whether medication is appropriate and which options are available, any further information or assessment required, and your ongoing management plan.
Please note: Medication is not always indicated or appropriate. A thorough assessment is completed first. In some cases, further information or a follow-up appointment may be needed before a diagnosis or prescription can be finalised.
ADHD Questionnaires to Complete Before Your Appointment
Download, print and complete the relevant questionnaires and bring them with you to your appointment. If questionnaires are not completed prior to your visit, your assessment may not be able to proceed.
Questionnaires for Children and Adolescents (Ages 6+)
- Essential
- Essential
- Optional
Questionnaires for Adults
Complete a minimum of one. Completing more than one provides a more complete picture.
- Min. one
- Min. one
- Min. one
Please note: Medication is not always indicated or appropriate. A thorough assessment is completed first. In some cases, further information or a follow-up appointment may be needed before a diagnosis or prescription can be finalised.
What to Bring to Your ADHD Assessment
- Completed questionnaires — essential, appointment may not proceed without these
- A written account of how ADHD has impacted you throughout your life. Please prepare this in advance and bring it to your appointment
- Current medication list (if applicable)
- Any previous psychological, psychiatric, or allied health assessments
- Previous school reports or written evidence of symptoms in childhood (adults and children)
- Hearing and vision test results (children)
- School-aged children: a letter from your child's teacher outlining their observations and concerns about ADHD behaviour in the classroom
- Adults: written collateral history from a family member who can describe their observations of your behaviour and symptoms
- Any recent blood tests or investigations
- Medicare card
- Any other relevant medical or psychological information
School reports matter for adult assessments too. ADHD requires evidence of symptoms across settings and from childhood. Old school reports, if you have them, meaningfully support the assessment, even for adult patients.
Fees
ADHD Assessment Cost and Medicare Rebate
$130 non-refundable deposit is required at the time of booking. This forms part of the total $690 fee — the balance of $560 is payable on the day of your appointment.
Estimated rebate of approximately $128 may apply to eligible Medicare patients. Medicare rebates are subject to eligibility and may vary. Please confirm current rebate information with our reception team when booking. This service is not bulk billed.
- 30-minute nurse appointment (BP, heart rate, height, weight, BMI)
- 45-minute GP assessment with Dr Katrina Mikhail
- Review of questionnaires and history
- Diagnosis discussion and outcome
- Medication initiation where clinically appropriate
- Ongoing management plan
If your ADHD assessment & diagnosis was completed by Shire Family Medical, follow-up reviews only require a general 15-minute or 30-minute appointment - Dr Mikhail will confirm the appointment duration required. See our Fees page for general consultation pricing.
When GP-Led ADHD Assessment May Not Be Suitable
GP-led ADHD assessment is not suitable for every patient. The following situations may require assessment by a paediatrician or psychiatrist instead.
- Complex psychiatric comorbidities requiring specialist-led care
- Significant diagnostic uncertainty requiring multidisciplinary assessment
- Situations where non-GP specialist-led care is clinically indicated
- History of substance use or drug dependence, including medicinal cannabis
- Children under 6 years of age
- Patients who may require shared care with a paediatrician or psychiatrist
If you are unsure whether this service is suitable for you, please call our reception team on 02 9545 1777 before booking. Dr Mikhail’s priority is safe and appropriate care for every patient.
How to Book an ADHD Assessment in Sutherland
Call the practice
Call 02 9545 1777 to speak with our reception team. They will confirm whether the service is suitable for you and take your booking details.
Pay the deposit
A $130 non-refundable deposit is required to secure your appointment.
Complete your questionnaires before the appointment
Download, print and complete the relevant questionnaires. Your assessment may not be able to proceed if questionnaires are not completed in advance. Bring the completed questionnaires with you to your appointment.
Attend your assessment
Arrive for your nurse appointment followed by your 45-minute GP assessment with Dr Mikhail. Bring all relevant documents listed in the checklist above.
Please note: Medication is not always indicated or appropriate. A thorough assessment is completed first. In some cases, further information or a follow-up appointment may be needed before a diagnosis or prescription can be finalised.
Further Reading on ADHD for Families
Understanding an ADHD diagnosis can raise a lot of questions, for children, teenagers and parents alike. The three guides below are published by Developmental Paediatrics, a specialist paediatric practice, and written for different members of the family. They’re general information only and don’t replace individual advice from Dr Mikhail or your GP.
For younger children
Kids Like Me
An illustrated picture book that helps younger children understand ADHD, with words and artwork from Australian children who live with it themselves. It’s written to build a sense of belonging and self-worth, not to explain clinical detail.
For older children, roughly ages 8–12
A Guide for Children About ADHD
A more detailed guide written directly to children, covering what ADHD is, how it’s diagnosed, and simple strategies for school and home. Includes checklists to help a child take an active part in understanding their own diagnosis.
For parents and carers
A Guide for Parents and Carers
An overview of ADHD symptoms, diagnosis and the range of management approaches available, written for parents rather than clinicians. A useful starting point before or after an assessment appointment with Dr Mikhail.
Looking for more? These three guides are a small part of a larger library. Developmental Paediatrics’ resources page also covers autism, learning difficulties and other childhood conditions, alongside further ADHD reading, videos and factsheets. Browse the full resources library →
These resources are published and hosted by Developmental Paediatrics, not Shire Family Medical, and open in a new tab. They’re general information to support, not replace, individual advice from Dr Mikhail or your GP.
Frequently Asked Questions About ADHD Assessment
No. You do not need a referral from a GP or any other doctor to book an ADHD assessment with Dr Katrina Mikhail. You can call our reception team directly on 02 9545 1777 to arrange an appointment.
Recent NSW Health reforms created two levels of GP involvement in ADHD care. Tier 1 (continuation prescribers) can provide ongoing prescriptions for patients who already have a diagnosis. Tier 2 (endorsed prescribers) have completed additional, advanced training that allows them to assess, diagnose, and initiate ADHD medication. Dr Katrina Mikhail is a Tier 2 Endorsed Prescriber — one of a select cohort of GPs in NSW to complete this training.
No. Assessment appointments must be booked by calling the practice on 02 9545 1777. Our reception team will confirm the service is suitable for you and take a non-refundable deposit. Ensure you complete the relevant questionnaires before your appointment.
For children and adolescents, the SNAP-IV and Vanderbilt scales (home and school versions) are essential. For adults, a minimum of one questionnaire from the ASRS, WURS, or DIVA-5 is required. If questionnaires are not completed before your appointment, the assessment may not be able to proceed.
Not necessarily. A thorough assessment is completed first, and a diagnosis and medication are only provided where clinically appropriate. In some cases, further information, additional questionnaires, or a follow-up appointment may be needed before a final decision can be made. Dr Mikhail’s priority is safe and accurate assessment, not a predetermined outcome.
The total fee for the initial ADHD assessment is $690. A non-refundable deposit of $130 is required at the time of booking and this forms part of the total fee. The remaining $560 is payable on the day of your appointment. An estimated Medicare rebate of approximately $128 may apply to eligible patients, leaving an estimated out-of-pocket cost of approximately $562. Medicare rebates are subject to eligibility and may vary. Please confirm current rebate information with our reception team when booking. This service is not bulk billed.
Yes. The ADHD assessment service is available for patients aged 6 and over, including children and adolescents. A parent or guardian must be present throughout the appointment. For children, both the SNAP-IV and Vanderbilt questionnaires are required — including teacher-completed versions — so please allow sufficient time to collect these before your appointment.
It depends on whether you are currently established and stable on ADHD medication. If you have a diagnosis but are not yet on medication, or are not stable on your current medication, please book an ADHD assessment appointment with Dr Mikhail — she can review your situation, assess whether medication is appropriate, and initiate treatment where indicated. If you already have a confirmed diagnosis and are stable on an existing medication, you may be eligible for our continuing prescriptions service instead. You will need a current correspondence letter from your psychiatrist or paediatrician and must be registered for MyMedicare at our practice. See our ADHD Management (Continuing Prescriptions) page for full details, or call us on 02 9545 1777 if you are unsure which pathway is right for you.
Not in the counselling sense. Our ADHD Assessment & Diagnosis service is a GP-led medical service: Dr Katrina Mikhail assesses your symptoms, provides a diagnosis where clinically appropriate, and can initiate ADHD medication as a Tier 2 Endorsed GP Prescriber. It does not include talk therapy or ongoing counselling. If you are also looking for psychological or counselling support alongside your ADHD care, ask your GP about a Mental Health Care Plan, which may make sessions with a psychologist more affordable.
Ready to Book Your ADHD Assessment?
Call our reception team to arrange an appointment with Dr Katrina Mikhail. No referral needed. Please bring completed questionnaires to your appointment.
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