01926 803804

Testing Form

A SAFE, CARING, RESPONSIVE, EFFECTIVE and WELL LED service


    Child's Details

    Primary Contact



    Would you agree to having your appointments with the associate of the practice who is a Consultant Child and Adolescent Psychiatrist and offers all appointments by video call. (Please note: Dr Moss, in the main, only offers face-to-face appointments at the clinic in Leamington Spa – she may, upon her discretion, be able to offer you follow up appointments by video call on occasion)


    In the first instance Dr Moss will review your enquiry. You may also have a 10 minute free of charge phone call with her after which she will be able to establish whether we are the best people to help your child.


    Please confirm that you shall be funding the appointment yourself and not claiming through an insurance company: