All Kinds of Minds Assessments
  • Autism, A.D.H.D., and Combined Assessment Suitability Form

  • This form is the first step in enquiring about an Autism Assessment, an A.D.H.D. Assessment, or a Combined Assessment pathway for a child or young person. Referrals may be submitted from a child or young person’s 6th birthday up to, but not including, their 18th birthday. All assessments include in-person appointments in Sligo Town.

    For a standalone Cognitive Assessment or an S.L.D. (dyslexia and/or dyscalculia) Assessment, please use the separate Cognitive and S.L.D. Assessment Suitability Form instead.

  • Parent or Legal Guardian Completing the Form

  • This form should be completed only by a parent or legal guardian on behalf of the child or young person. It should not be completed by a teacher, G.P., or other professional.

  • Please note that for data-minimisation purposes, a mobile number and postal address are not requested at this stage.

  • Child or Young Person's Details

  • Date of Birth*
     / /
    2 digit day, 2 digit month, 4 digit year
  • Assessment Requested

  • What type of assessment is currently needed?*
  • School Information

  • The information below provides important context about the child or young person’s current school setting.

  • Does the child or young person currently receive Special Education Teaching (SET) support?*
  • Does the child or young person have a current Student Support Plan in place as part of the school’s Student Support File?*
  • Has the child or young person missed a significant amount of school?*
  • Would you be willing to provide consent for All Kinds of Minds Assessments to contact a relevant teacher or Special Education Teacher (S.E.T.) as part of the assessment?*
  • The question above indicates whether you would be willing to provide consent for school contact. Formal consent to contact the school will be obtained separately if the assessment proceeds.

    Information from a relevant teacher, S.E.T., or other educator provides important independent information about how the child or young person is functioning within the school setting, including their learning, attention, communication, social experience, participation, and the supports already in place.

    For children in primary school, contact with an educator is a required part of the assessment process. This is because the assessment needs information from more than one setting and from someone outside the family who knows the child in an educational context. If consent is not provided for the Clinical Psychologist to obtain information from a relevant educator, the assessment cannot proceed through this practice.

    With consent, the Clinical Psychologist may request teacher questionnaires or other information that is appropriate to the assessment.

  • Current and Previous Services and Supports

    More than one option may be selected for the same service. If none apply, leave the table blank and enter “None” in the box below. If you are uncertain, please explain in that box.
  • Please indicate any current, previous, or waitlisted involvement with the services below.
    Rows
  • Has the child or young person previously had a cognitive, neurodevelopmental, psychoeducational, or mental-health assessment?*
  • Legal Guardianship Status

  • A legal guardian has authority to make significant decisions about a child’s welfare, including education, healthcare, and consent for psychological assessment. 

    Guardianship is separate from custody, residence, and access. A person may remain a legal guardian even if the child does not live with them or they have no current access arrangements.

  • Consent Arrangements

  • This question asks whether the required consent is likely to be obtainable. Answering it does not give formal consent to assessment. If the referral is suitable to proceed, a separate Consent Form will be provided before assessment arrangements are confirmed.

  • Is there anything that may affect obtaining the required consent from all legal guardians, or from a young person aged 16 or 17?*
  • Consent must be freely given by everyone whose consent is required before a referral can proceed with this private practice.

    Children under 16: The practice requires consent from all legal guardians. A referral will not be processed further if any legal guardian does not consent, consent is disputed or cannot be established, or agreement would need to be obtained through court proceedings or a court order.

    Young people aged 16 or 17: A young person may provide their own consent for assessment. The practice does not attempt to convince a young person to participate.

    Disputes and court involvement: The practice does not mediate between legal guardians, seek consent on another person’s behalf, or resolve disputes about guardianship or consent. It does not provide court-directed or court-related assessments.

    The practice does not accept referrals where there are active family-law proceedings concerning the child or young person. This includes proceedings about guardianship, custody, residence, access, or consent.

  • Assessment Access and Readiness Considerations

  • The items below help identify factors that may affect the timing or accessibility of a private psychological assessment through this service. Select “None of these apply” only if you have selected no other options.

  • Please tick all that currently apply to the child, young person, or family:*
  • Selecting one or more of these items does not necessarily mean that an assessment cannot proceed with All Kinds of Minds Assessments. However, other needs may need to be prioritised first.

  • Mental Health and Safety Considerations

  • All Kinds of Minds Assessments is a private assessment service. It does not provide emergency, urgent, crisis, or mental-health services. Additionally, this form and practice emails are not monitored for risk.

    If any of the concerns listed below currently apply, assessment through this practice is not appropriate at this time. The child or young person’s mental health, safety, and immediate support needs must take priority. These needs are better addressed by a public service equipped to provide the necessary support, monitoring, intervention, or assessment. Select “None of the above are applicable” only if you have selected no other options.

  • Please indicate if any of the following currently apply to the child or young person:*
  • Please note: The Clinical Psychologist is a Mandated Reporter under Children First. Where information provided raises a child welfare or protection concern, the appropriate safeguarding and reporting procedures will be followed, including reporting to Tusla where required.

  • Where to seek support:

    Immediate danger or emergency: If the child or young person is about to harm themselves or someone else, call 112 or 999 or attend the nearest Emergency Department.

    Mental-health concerns: For significant mental-health concerns, suicidal thoughts, self-harm, or behaviour affecting safety, contact the child or young person’s G.P. or their existing mental-health team, such as C.A.M.H.S. If the G.P. practice is closed and help cannot wait until it reopens, contact the G.P. out-of-hours service. H.S.E. guidance on getting urgent help.

    Child-protection or welfare concerns: Contact the Tusla Duty Social Work Team for the area where the child lives. If Tusla is unavailable and you have an immediate concern about a child’s safety, contact An Garda Síochána. In an emergency, call 112 or 999, regardless of the time of day.

    Information about mental-health services: Call the H.S.E. Your Mental Health Information Line on 1800 111 888 for information about available services and how to access them. This is an information service, not a counselling or emergency-response service.

  • Important Information Before Submitting

  • Service Scope and Level of Need

    All Kinds of Minds Assessments provides focused private Autism, A.D.H.D., and S.L.D. (i.e., dyslexia and dyscalculia) assessment pathways for children and young people with low-to-moderate support needs whose assessment can be appropriately completed within the practice’s Scope of Practice. Suitability is considered individually. The Clinical Psychologist considers the child’s or young person’s overall developmental profile, communication and adaptive functioning, possible co-occurring mental health needs, ability to participate comfortably and meaningfully in the assessment process, existing supports, and the type and breadth of professional input or ongoing support likely to be required.

    A different assessment pathway may be more appropriate where the child or young person’s needs are broader or more complex than can be adequately assessed within this focused private practice. This may include possible or established Intellectual Disability, significant communication or adaptive needs, or complex medical, emotional, or participation needs. In some cases, these needs may require broader multidisciplinary assessment, coordinated intervention, or ongoing support alongside the assessment process that extends beyond the remit of this practice. For children and young people with moderate-to-significant or complex needs, a focused private assessment through this practice may not provide the breadth of assessment or support required.

  • A.D.H.D. Assessment and Medication

    A.D.H.D. assessment through All Kinds of Minds Assessments is Clinical Psychology-led and non-prescribing. It may provide a formal A.D.H.D. diagnostic conclusion where this is supported by the assessment evidence, but it does not include medication consultation, prescribing, medication titration, or medical management.

    A family may seek an A.D.H.D. assessment through this practice and later choose to share the report with an appropriately qualified medical prescriber. That does not, by itself, make the referral unsuitable. Any later decision about medication is a separate medical decision made by the prescriber. However, where medication consultation, prescribing, psychiatric input, or medical management is being sought as part of the current assessment pathway, a medically led pathway will be more suitable. This may involve discussing referral options with the child or young person’s G.P., including referral to C.A.M.H.S. where appropriate, or pursuing a private psychiatry-led pathway.

  • Are you seeking a medication consultation, prescribing, or medical management as part of this A.D.H.D. assessment pathway?
  • Acceptance of Terms

  • I confirm that I have had the opportunity to read the Terms of Service on the All Kinds of Minds Assessments website, and I agree to be bound by them. I understand that I can request clarification at any time. If “No” is selected, the submission cannot be processed and the service cannot proceed.

  • Do you accept the Terms of Service?*
  • Data Processing Statement

  • I understand and agree that All Kinds of Minds Assessments will securely store and use the information I provide in this form for the limited purposes of assessing suitability for services and contacting me about this enquiry. If an assessment does not proceed, the information submitted in this form will be managed in accordance with the Privacy Policy, data-retention arrangements, and G.D.P.R. requirements. If “No” is selected, the submission cannot be processed further.

  • Do you agree to the Data Processing Statement?*
  • Should be Empty: