Already know what you need? Book with a NSW ADHD Continuation Prescriber.
Sydney GPs providing ADHD continuation care. New to Rosedale? Your first visit is in person. Existing Rosedale patients and MyMedicare-registered patients can book telehealth.
Dr Nicky Kathuria
Adults 18+ only
Specialist GP. ADHD continuation.
Dr Priya Ashwath
Adults 18+ only
Telehealth onlyTelehealth continuation reviews for existing Rosedale and MyMedicare-registered patients with a settled diagnosis and stable treatment plan.
Dr Natasha Paul
Adults 18+ only
Specialist GP. Menopause and ADHD continuation.
Under 18?
Dr Jaspreet Saini provides ADHD continuation care for patients aged 6 and over. Appointments for under-18s are in person. Book now and bring your current diagnosis and medication details.
Before you book
- New to Rosedale? Book in person. Your first ADHD visit is face to face. Bloods, an ECG and a urine screen may be needed, done on-site if not recent.
- Existing patient, or registered with us through MyMedicare? Telehealth is open to you with any of our adult prescribers. Send a recent BP, weight and height before your appointment.
- Under 18? Dr Saini is our only prescriber for children and teens (ages 6+), and those visits are always in person. Dr Kathuria, Dr Ashwath and Dr Paul see adults 18+ only.
Can I book telehealth?
One simple rule. It decides who can book telehealth, and it's the same rule Medicare uses for your rebate.
Telehealth is open to you if either is true
- ✓You're an existing Rosedale patient, seen by one of our GPs in person in the last 12 months
- ✓You're registered with Rosedale through MyMedicare
Otherwise
Telehealth for eligible patients is Medicare-rebated. 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 Kathuria, Dr Paul or Dr Saini via HotDoc and select "ADHD continuation". Your first visit is in person. Existing Rosedale and MyMedicare-registered patients can also book telehealth, including with Dr Ashwath.
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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
First visit in person
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. In person, or by telehealth once you're an existing patient.
What your consult involves.
Your first ADHD visit is in person. A physical examination and current vitals are part of safe prescribing, not an optional extra. Telehealth opens up once you're an existing patient.
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 for existing patients
Telehealth is open to you if you've seen a Rosedale GP in person in the last 12 months, or you're registered with us through MyMedicare. Send a recent blood pressure, weight and height beforehand. Eligible telehealth consults are Medicare-rebated.
- New patients book in person first; telehealth isn't available until you've been seen
- Under-18s are seen in person with Dr Saini
- Restarts after a break are 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 1 July 2026 · Private billing
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Continuation of existing scripts Existing diagnosis, stable on a current plan$290.38$87.10$203.28
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Restart after stopping Returning to treatment after a break$336.18$87.10$249.08
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Medication initiation After a formal diagnosis made elsewhere, where treatment was never started$458.32$128.35$329.97
Columns: Our fee · Medicare rebate · Your out-of-pocket gap. Fees apply to all patients, including pension and DVA cardholders.
Rebates apply with a valid Medicare card, in person or by telehealth. Telehealth is available to existing Rosedale patients (seen in person in the last 12 months) and MyMedicare-registered patients; new patients are seen in person first.
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 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, book our GP-led diagnosis service, now available, where you're reassessed and managed by us. Book an assessment.
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 book our GP-led diagnosis (now available) 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: book our GP-led ADHD diagnosis (now available), 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, book with us.
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?
Yes, once you're an existing patient. Your first ADHD visit is in person, because safe prescribing needs an exam and current vitals. After that, telehealth is open to you if you've seen a Rosedale GP in person in the last 12 months or you're registered with us through MyMedicare, and it's Medicare-rebated. Send a recent blood pressure, weight and height before each telehealth review. Available for adults with Dr Kathuria, Dr Ashwath (telehealth only), Dr Paul and Dr Saini. Under-18s are seen in person.
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. Secure video telehealth is available to existing Rosedale patients and MyMedicare-registered patients, with a recent blood pressure, weight and height sent beforehand. New patients are seen in person first.
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 Kathuria, Dr Ashwath, Dr Paul or Dr Saini 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, and to telehealth for existing and MyMedicare-registered 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 by telehealth across NSW for existing patients.
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 person at West Pennant Hills. First visits and under-18s are always in person. Existing patient? Book telehealth
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.
