Request a private assessment

Get matched with psychiatrist in under 72 hours.

Get started immediately by providing us with information about your circumstances.

Alternatively book a 15 Minute Case Discussion here
One

Case Information

Two

Case Description

Three

Medical Information

Four

Contact Details

1/2

Case Information

Has the patient’s permission to instruct an expert been sought?*
Has the patient consented to their information being shared?*
What date is the psychiatric report required by?*
One

Case Information

Two

Case Description

Three

Medical Information

Four

Contact Details

2/2

Case Information

In your opinion, is it likely that the expert will be requested to attend a listed hearing for cross-examination?
⁠⁠Estimated number of pages of reading following instruction*
One

Case Information

Two

Case Description

Three

Medical Information

Four

Contact Details

1/3

Case Description

Without using individual identifiers, please describe the nature of proceedings and issues likely to require determination by the court*
One

Case Information

Two

Case Description

Three

Medical Information

Four

Contact Details

2/3

Case Description

Without using individual identifiers, please give a brief description of the individual’s psychiatric presentation
One

Case Information

Two

Case Description

Three

Medical Information

Four

Contact Details

3/3

Case Description

Please outline the questions you would like addressed by the expert*
One

Case Information

Two

Case Description

Three

Medical Information

Four

Contact Details

1/2

Medical Information

Medical history

Please list any formal medical or psychiatric diagnoses*
One

Case Information

Two

Case Description

Three

Medical Information

Four

Contact Details

2/2

Medical Information

Medication history

Add Medicines
One

Case Information

Two

Case Description

Three

Medical Information

Four

Contact Details

Contact Information

Please add the information of the person managing the case below.

One

Case Information

Two

Case Description

Three

Medical Information

Four

Contact Details

Further Information

Is there anything else the doctor should know about the case?

Previous
Next step

Case Submitted

Thank you for your submission. We will respond within 72hrs.
Oops! Something went wrong while submitting the form