Stable on treatment?
Keep it that way.
Ongoing ADHD care with one GP who knows your history. In person at West Pennant Hills or secure telehealth across NSW.
New here, restarting, or not sure where you fit? Take the 20-second check on the right and it tells you exactly what to do next.
Prefer to call 02 9680 9644First up, what brings you in today?
This makes sure we send you down the right path.
Your letter qualifies.
Book in-person consult →In person at West Pennant Hills, with Dr Saini. Unable to attend in person?
Let's get your letter sorted.
In crisis or need urgent help now? This isn't an emergency service. If it's an emergency call 000, or call Lifeline on 13 11 14, any time.
Already know what you need? Book direct with a prescriber ↓
Already know what you need? Book with a NSW ADHD Continuation Prescriber.
Three Sydney GPs providing ADHD continuation care. Choose your doctor and consult type below.
Dr Natasha Paul
Adults 18+
Dr Nicky Kathuria
Adults 18+
Dr Jaspreet Saini
Children 6+ & adults
Before you book
- In person is preferred, and the fastest path to your script.
- First visit may need bloods, an ECG and a urine screen, done on-site if not recent.
- Telehealth only if you can't attend. Send a recent BP, weight and height first.
Will my telehealth visit be rebated?
The question we get most. One simple rule.
You get the rebate if either is true
- ✓You've seen a Rosedale GP in person in the last 12 months
- ✓You're registered with Rosedale through MyMedicare
Otherwise
In-person visits are always rebate-eligible with a valid Medicare card.
More than just a script.
Continuation care isn't a script-and-go service. It's ongoing GP management, the way ADHD care is meant to be delivered.
Ongoing script management
Stimulant and non-stimulant prescriptions managed in line with NSW Health and RACGP guidelines. No fragmented care, no phone-around-for-a-pharmacy.
Physical & mental health checks
Blood pressure, heart rate, weight, sleep, and mood reviewed at every visit. Adjustments made early, not after problems emerge.
Whole-person care
ADHD often overlaps with anxiety, sleep, gut health, and nutrition. Connected with our psychologist, dietitian, and allied health team, all on-site.
Four steps to continuation care.
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1
Book online
Choose Dr Saini, Dr Paul, or Dr Kathuria via HotDoc. Select "ADHD continuation" as your reason.
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2
Send your specialist letter
Required before your visit. Your diagnosis letter is ideal; at minimum, a recent specialist letter with your current medication, dose and stability.
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3
In-person consultation
A 30-minute visit at West Pennant Hills. Nurse first for vitals, then the GP reviews, examines and arranges any tests. Your script may not be same-day.
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4
Ongoing reviews
Routine follow-ups every 3 to 6 months for monitoring, dose adjustments, and continued scripts.
What your consult involves.
ADHD continuation is delivered in person. A physical examination and current vitals are part of safe prescribing, not an optional extra.
Nurse first, then the GP
Nurse first for your blood pressure, heart rate, weight and height. The GP then reviews your history and examines you, all recorded at the consult.
Bloods, ECG & drug screen
Bloods, an ECG and a urine drug screen, when required, are done on-site via 4Cyte Pathology. Often not needed for children, or if you've had them recently. The doctor decides at the consult.
Not always same-day
Not always same-day. Bloods, an ECG or a urine drug screen may be needed first, with your script issued once results are reviewed.
We may not prescribe on the day
Following NSW Health and RACGP guidelines, a doctor may defer prescribing where it isn't safe, including where:
- your ADHD is not currently stable
- there are signs of current drug or alcohol use, or a positive urine drug screen
- you have cardiac risk factors, or an abnormal ECG, blood pressure or heart rate that warrant further investigation
- there is another clinical concern, such as an untreated or unstable mental health condition, a significant medication interaction, or a pregnancy consideration
If we can't prescribe on the day, we explain why and what needs to happen next.
Telehealth is limited
For patients who genuinely can't attend in person. Send a recent blood pressure, weight and height beforehand. Rebated only if you've seen a Rosedale GP in person in the last 12 months or are registered with us via MyMedicare, otherwise full fee.
Everyone else books in person. In-person consults are always rebate-eligible with a valid Medicare card.
Clear fees. No surprises.
Every fee published, including your real out-of-pocket gap after Medicare.
ADHD continuation fees
Effective 2026 · Private billing
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Initial consultation 30 minutes · First visit$285$84.90$200.10
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Review consultation 20 to 23 minutes · Ongoing$185$43.90$141.10
Columns: Our fee · Medicare rebate · Your out-of-pocket gap. Fees apply to all patients, including pension and DVA cardholders.
In-person rebates apply with a valid Medicare card. Telehealth is rebated only if you've seen a Rosedale GP in person in the last 12 months or are registered with us via MyMedicare, otherwise the full fee applies.
Before you book.
Sorted by topic, jump to what you need. The questions adults and parents ask most often when transferring ADHD care to Rosedale.
Am I eligible?
I was diagnosed by a psychologist, not a psychiatrist, can you prescribe for me?
Not on a psychologist's report alone. ADHD medication must be started by a psychiatrist or paediatrician. If you've been diagnosed but never started on a specialist's medication plan, see a psychiatrist or paediatrician first to be commenced and stabilised, then we can take over your ongoing continuation care.
Can a GP prescribe ADHD medication in NSW?
Yes, in most continuation cases. Since the 2025 NSW reforms, a GP with the right training can continue prescribing ADHD medication for adults and children who already have a diagnosis and a stable treatment plan, without a specialist visit for every script. Our GPs with a special interest in ADHD provide exactly this continuation service.
Who can prescribe ADHD medication now the rules have changed?
In NSW, a trained GP can. You no longer need to see a psychiatrist for every prescription. A GP endorsed to prescribe ADHD medication can continue your treatment when you already have a diagnosis and a stable plan, which keeps your ongoing care faster and closer to home.
Can a GP prescribe or continue my ADHD stimulant medication in NSW?
Yes, once a specialist has started you on it. If you are already stabilised on an ADHD stimulant, a trained GP continuation prescriber in NSW can generally continue prescribing it as part of your existing plan. This includes the common stimulants methylphenidate (sold as Ritalin and Concerta) and lisdexamfetamine (sold as Vyvanse), as well as dexamfetamine. Bring your current dose and your most recent specialist letter to your appointment so we can continue your existing plan safely.
What if I'm not stable on my medication yet?
Keep seeing your specialist until you're stable, then we take over. Continuation needs evidence you've settled on your dose with side effects managed, usually a few months after starting. Once your specialist confirms it in a letter dated within 12 months, we can manage your ongoing care. You're welcome to book any of our GPs for general health in the meantime.
What if my specialist won't transfer my care to a GP?
Two options. One, shared care with Dr Saini, your specialist guides the plan while Dr Saini handles the regular reviews and scripts in between (they just need to agree, and most are happy to, even if they won't formally transfer you). Two, wait for our GP-led diagnosis service, opening Q4 2026, where you're reassessed and managed by us. Join the waitlist.
Do you offer shared care with my psychiatrist?
Yes, Dr Saini offers shared care for adults and children. Your psychiatrist or paediatrician stays across your treatment plan while Dr Saini manages the regular reviews and scripts between specialist visits, fewer specialist appointments, same oversight. Fees depend on visit length; reception can estimate on 02 9680 9644. Your specialist just needs to agree, most are happy to.
Your letter & documents
Do I need a new specialist appointment first?
No, in most cases. You do need a recent specialist letter, ideally your diagnosis letter, or at minimum your most recent psychiatrist or paediatrician letter listing your current medication, dose and stability. We can't book your first appointment without one.
What if my specialist letter is older than 12 months?
You need a letter from within the last 12 months. NSW Health requires it, confirming your diagnosis, medication and stability. Two options: a short review with any psychiatrist to refresh it, or join our diagnosis waitlist (opening Q4 2026) to be reassessed by us directly.
What if I don't have any specialist letter?
We can't book your first appointment without one. Ask your previous specialist's clinic, most can re-issue a letter or summary on request. If they're unreachable, or you've never had documentation, you'll need a new specialist review first.
What documents do I need to send before my appointment, and by when?
Three things, at least 48 hours before your visit: your formal ADHD diagnosis, evidence you're stable on your current medication, and your specialist letter (dated within 12 months). Email reception@rosedalemedicalpractice.com.au or reply to your confirmation email. Late documents may mean rescheduling, as the GP needs time to review them.
Restarting or a first diagnosis
What if I haven't been diagnosed with ADHD yet?
You'll need a diagnosis first. We currently provide continuation prescribing only, for patients already diagnosed and started on medication by a specialist. Two options: join our diagnosis waitlist (GP-led ADHD diagnosis, opening Q4 2026), or see a private psychiatrist or paediatrician now. Once diagnosed and stable for a few months, we take over your ongoing care.
What if I've been off ADHD medication for a while?
Yes, you can restart with us, in person. After a break the GP needs to see you and take physical observations before prescribing again, so it's face-to-face and your script may not be same-day. Book the "ADHD Restarting, After Taking a Break" appointment on HotDoc, or call 02 9680 9644. Never formally diagnosed, or a very long gap? The GP may suggest a fresh assessment, join the waitlist.
I want to restart medication after a break, can I do that by telehealth?
No, restart appointments are in person only. After a break the GP needs to examine you and take observations before prescribing again. Book the "ADHD Restarting, After Taking a Break" appointment on HotDoc, or call 02 9680 9644.
Telehealth & how appointments run
Can I do my appointments via telehealth?
Only if you genuinely can't attend in person. Safe prescribing needs an exam and current vitals, so we're face-to-face by default. If you can't attend, send a recent blood pressure, weight and height first. Telehealth is rebated only if you've seen a Rosedale GP in person in the last 12 months, or are registered with us via MyMedicare, otherwise full fee. Available with Dr Saini, Dr Paul and Dr Kathuria.
Can my appointment be done by phone, or does it have to be video?
Video, not phone. We don't offer telephone-only ADHD appointments. In-person is the default; secure video telehealth is for patients who genuinely can't attend, with a recent blood pressure, weight and height sent beforehand. Telehealth is rebated only if you've seen a Rosedale GP in person in the last 12 months or are registered with us via MyMedicare, otherwise full fee.
How often will I need to come in?
Every 3 to 6 months, depending on your stability, age and medication. Children and teens are usually reviewed more often. Scripts are issued at scheduled reviews, in person or telehealth, so we can monitor your progress.
Will I see the same GP every visit?
Yes. You choose Dr Saini, Dr Paul or Dr Kathuria at your first visit and stay with that GP. Continuity is the point.
What about my child's school or sports forms?
We can complete them at a review consult, schools, camps and sporting bodies, no separate appointment needed for most forms.
Costs & Medicare
Can I be bulk-billed?
No, ADHD continuation care is privately billed for all patients, to allow longer consults and proper monitoring. Medicare rebates apply to in-person consults for eligible patients with a valid Medicare card. Fees and gaps are published above.
What about Medicare rebates, item numbers, and MyMedicare registration?
The GP confirms these at your appointment. Item numbers, rebates and MyMedicare specifics depend on your situation and current requirements, so we can't confirm them in advance by phone or email. Standard fees and typical rebates are in the Fees & Eligibility section above.
Can I pay in advance or pre-pay to hold an appointment?
No, payment is made at the time of your consult. We can't take prepayment or hold appointments with an advance payment. If cost or timing is a concern, call reception on 02 9680 9644 and we'll help you find a suitable time.
Why people move their ADHD care to a Rosedale GP.
One doctor who knows your whole picture.
A specialist sees you once or twice a year. A GP sees you regularly and knows your whole history. ADHD stops being managed in isolation.
Seen in weeks, not months.
Private psychiatry reviews can be a three to six month wait. Continuation appointments here are usually within one to two weeks, in person or telehealth across NSW.
Lower ongoing cost, everything in one place.
GP reviews cost less than repeat private psychiatry, and your scripts, monitoring, letters and referrals are all in one place.
Continuation prescribing is for patients already diagnosed and stable on treatment. Your specialist stays available for complex changes.
Ready to book?
Most patients are seen within weeks. Book your continuation consult below, or call reception for guidance.
In-house allied health, when you need it.
Book ADHD continuation care and you also get two in-house allied health clinicians who work alongside our GPs, when it's clinically useful.
New · Telehealth
ADHD medication continuation by telehealth
Dr Priya Ashwath is now offering telehealth ADHD continuation reviews for patients who already have a diagnosis and a stable treatment plan.