Safe, Structured Continuing Care for Existing ADHD Treatment Plans
We provide ongoing ADHD management appointments at Shire Family Medical for eligible patients who are already under the care of a psychiatrist or paediatrician.
These consultations are for continuation of existing ADHD medication, in line with NSW Health requirements for authorised prescribers.
Who This Service Is For
Patients who:
- Are aged 6 years or older
- Have a confirmed ADHD diagnosis
- Are already being treated by a psychiatrist or paediatrician
- Require ongoing prescriptions for their current ADHD medication
- Are registered for MyMedicare with our practice
This service is not for initial assessment or diagnosis of ADHD. New assessments should be arranged with a psychiatrist, paediatrician or appropriate specialist.
Referral and Documentation Required
Before booking, patients must have:
- A correspondence letter from their psychiatrist or paediatrician
- confirming the diagnosis of ADHD
- outlining the current medication, dosage and treatment plan
This letter must be up to date and available for review at the appointment.
What We Can Provide
Within this service we can:
- Continue prescribing stimulant medications such as dexamfetamine, lisdexamfetamine or methylphenidate, as outlined in the psychiatrist’s or paediatrician's letter
- Provide regular reviews of ADHD medication as part of shared care with the psychiatrist or paediatrician
- Ensure prescribing remains in line with NSW Health criteria and regulatory requirements
Important:
This is a continuation prescribing service – dosage changes or new medications cannot be initiated through this clinic alone. Any change to medication or dose must be guided by the treating psychiatrist or paediatrician.
Appointment Length
For initial ADHD medication appointments with Dr Katrina Mikhail, an ECG is required before the consultation. This is completed onsite immediately before the GP review.
- ADHD Management (Initial appointment) – 45 minutes total: 15-minute ECG followed by a 30-minute consultation with Dr Katrina Mikhail
- ADHD Management (Review appointment) – 30-minute consultation with Dr Katrina Mikhail
Booking
All ADHD management appointments must be booked with Dr Katrina Mikhail. When booking online, please select “ADHD Meds Initial” for your first appointment, or “ADHD Meds Review” for any follow-up consultations.
Frequently Asked Questions
No. This service is for continuing management only. Patients must already have a confirmed ADHD diagnosis from a psychiatrist or paediatrician. New assessments need to be arranged with a specialist.
Yes. You must have a current correspondence letter from your treating psychiatrist confirming your ADHD diagnosis and outlining your existing medication and dosage.
No. As continuing prescribers, our GPs can only provide prescriptions as directed by your psychiatrist or paediatrician. Any changes to medication or dosage must be managed by your psychiatrist.
Our GPs can continue prescribing stimulant medications such as:
- dexamfetamine
- lisdexamfetamine
- methylphenidate
These must match what is outlined in your psychiatrist’s or paediatrician’s treatment plan.
Initial appointment: 45 minutes total, including a 15-minute ECG and 30-minute GP consultation
Review appointment: 30 minutes
Please see our billing information for current rates and fees. Private fee applies for children in this situation (not bulk-billed)
This service is available for patients aged 6 years and over with an existing psychiatrist-confirmed or paediatrician-confirmed diagnosis.
Yes. All ADHD management appointments must be booked with Dr Katrina Mikhail. When booking online, please select “ADHD Meds Initial” for your first appointment, or “ADHD Meds Review” for any follow-up consultations.