Thanks for considering First Step Clinics where we aim to be open and transparent about our Fees for Child & Adolescent Psychiatry Assessments.
The Initial Assessment by the Consultant Child & Adolescent Psychiatrist, the first appointment has a tariff of £500.00 for 60 minutes – this fee includes a clinical summary with the agreed care plan emailed to you electronically.
Any follow-up meetings or assessments with the Consultant Psychiatrist is £250.00 for 30 minutes – this includes a brief summary letter where needed, often done periodically.
ADHD assessments: A full assessment requires a minimum of two hours spread over two to three meetings. Complex high risk cases usually need more than 2 meetings. The minimum cost is £1000.00. Between meetings we use Vanderbilt / SNAP Questionnaires and other screening tools as appropriate.
We can offer a computerised continuous performance check for ADHD remotely (QBCheck) where needed, at an additional cost of £200.00 (these additional charges may not be covered by your insurance provider).
Medication follow-up monitoring will be as per the follow-up meeting charges displayed above i.e. £250.00 per 30 minute review. Once medication is established at a stable dose, we request shared care under your GP so your they may take over prescribing, however this is entirely at their discretion.
Standalone QB test for ADHD: If done outside of a full ADHD assessment, we offer the QB check for £250.00
Prescription fees: A prescription is usually issued following a review meeting. However, between meetings or in the event your GP does not support you with repeat prescriptions, we can offer this service without a review where appropriate for a reduced fee of £75.00. The fee covers doctors time, stationary, admin time and other overheads. Requests must be made 7 days in advance. Scripts are usually arranged via Pharmacierge or Zen pharmacy in London.
Other Assessments not covered above: The above tariff does not include assessment of autism which will need to be sourced via other providers. Similarly other assessments such as cognitive assessments or those for dyslexia or other learning difficulties will need a Clinical Psychologist or Educational Psychologist and assessment for dyspraxia/motor coordination difficulties or for sensory processing issues will need an Occupational Therapist. You may need to contact them via your GP or school or privately.
Cancellations policy for Fees: Child Psychiatry and Psychological Assessments and Treatments. A full fee is payable if appointments are cancelled within 72 hours of the scheduled date and time. For all other cancellations, a £25.00 service charge is levied and remaining amount that is pre-paid will be refunded in 2 weeks.
Payment shortfalls by health insurance providers due to an excess on your policy, co-pay arrangements or any other reason will have to be paid for by the patient/parents.
Unpaid debts: Any fees unpaid despite reminders may lead to the debt being passed on to a credit recovery agency at the discretion of the given clinician/s. We appreciate life circumstances change and where appropriate, you may seek to pay in instalments with our approval. If despite 2 reminders fees remain unpaid services may be suspended.