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ADHD medication initiation · Adults 18+

You have the diagnosis. The next step is report review.

For adults with a detailed ADHD diagnosis who have never started medication. Send your complete report before an initiation appointment is offered.

  • Adults 18+
  • NSW patients
  • Report review first
  • In-person consultation

Please do not book an assessment or continuation appointment instead. Report review helps prevent paying for the wrong pathway.

Dr Jaspreet Saini, Specialist GP at Rosedale Medical Practice
Dr Jaspreet SainiPrincipal Specialist GP · FRACGP · NSW Health-endorsed ADHD prescriber
Report firstClinical triage before booking
40 minutesIn person at West Pennant Hills
$458.32Private consultation fee
$128.35Medicare rebate if eligible

Choose the right starting point

Initiation means medication was never started.

Your diagnosis and treatment history determine the pathway. Choose carefully so the appointment has the right length, clinician and preparation.

This page

Diagnosed, never medicated

You have a detailed ADHD report, live in NSW and have not commenced ADHD medication.

See report requirements →
Assessment

No formal diagnosis yet

If you still need diagnostic assessment and are 18 or older, start with the adult assessment pathway.

Go to assessment →
Different medication history

Taking medication now, or stopped?

Stable current treatment belongs in continuation. Previous treatment that stopped belongs in restart.

Compare pathways →

Report requirements

Send enough evidence to review the diagnosis safely.

A comprehensive psychologist, psychiatrist or paediatric report may support initiation, but acceptance is decided case by case. Overseas and brief reports can still be useful, though further assessment may be needed.

The diagnostic report should address

  • The diagnosing clinician and their credentials
  • Evidence of symptoms beginning in childhood
  • Impairment across relevant areas of life
  • Assessment tools and collateral information used
  • Relevant differential diagnoses and clinical formulation

Also include

  • Your full name, date of birth, phone number and NSW address
  • Current and previous medicines and relevant health history
  • Cardiac, pregnancy and substance-use information where relevant
  • Other reports, letters and recent results you hold
  • Your Medicare details and preferred pharmacy

How it works

Report first. Appointment second.

Pre-review protects you from paying for the wrong appointment and leaves the consultation time for a meaningful treatment discussion.

1

Send the report

Email the complete diagnostic report and relevant clinical letters to reception.

2

Clinical triage

The material is reviewed to determine whether initiation care is a suitable next step.

3

Attend in person

Meet Dr Saini for a 40-minute review of the diagnosis, goals, health, risks and options.

4

Begin and monitor

If appropriate, agree on a cautious plan and early follow-up. Prescribing may wait for checks or authority.

Your treating doctor

A longer visit for a new treatment decision.

Dr Jaspreet Saini provides adult ADHD assessment, medication initiation and ongoing prescribing within the NSW ADHD pathway.

Diagnostic reliability

The consultation begins with whether the existing assessment contains enough detail to guide treatment safely.

Options and trade-offs

Medication and non-medication approaches, likely benefits, risks and preferences are discussed.

Current safety

Observations, examination and relevant medical, mental-health and substance-use factors are reviewed.

Transparent fees

A 40-minute first consultation after report triage.

Initiation consultation$458.32

Medicare rebate: $128.35
Expected out-of-pocket: $329.97

Email your report

What the visit covers

Review of accepted diagnostic evidence, medical and medication history, treatment options, physical observations, and an individual initiation and monitoring plan where appropriate.

Private billing applies to all patients. Investigations, medication and later follow-up appointments are separate. Blood tests, ECG, urine screening, more evidence or NSW authority may be required before treatment begins.

Before sending your report

Initiation care FAQs.

Can I book before my report is reviewed?

Please send the full report first. Pre-review confirms whether initiation is the appropriate pathway and reduces the risk of paying for the wrong appointment.

Can a psychologist's diagnosis be accepted?

A comprehensive psychologist report may provide suitable evidence, but it is reviewed case by case and should address developmental history, impairment, criteria and differential diagnoses.

What if I was diagnosed overseas?

Send the complete report. Depending on its detail, the clinician and NSW requirements, further assessment or Australian specialist confirmation may be needed.

Is initiation available by telehealth?

No. The initiation consultation is completed in person at West Pennant Hills so current observations, examination and an appropriate safety assessment can be completed.

Does an accepted report guarantee medication?

No. Acceptance means the report supports proceeding to a clinical consultation. Medication is recommended only if it is clinically appropriate after the full review.

Let us review the diagnosis before you book.

Email your full report to Rosedale. Include your name, date of birth, phone number and NSW address so the team can guide the next step.

Call to book Book an appointment