NHS Right to Choose (RTC) Hub

[Date: 15/10/2026] To: [GP Name] Practice: [GP Surgery Name & Address] RE: Request for Patient Referral under NHS Right to Choose (RTC) Dear Doctor, I am writing to formally request an NHS-funded specialist assessment for ADHD under the statutory NHS Right to Choose legal framework (The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2013 / Section 75 of the NHS Act 2006). Under the NHS Choice Framework in England, when a patient is referred by their GP for consultant-led secondary mental health assessment, they have the legal right to choose any qualified independent provider that holds an existing qualifying contract with NHS England or any Integrated Care Board (ICB). I would like to be referred to: • Provider Name: ADHD 360 • Clinical Focus: ADHD Assessment • CQC Inspection Status: Requires Improvement • Location / Reach: Lincoln • Official Website: https://www.adhd-360.com I am selecting this provider because their verified diagnostic waiting times are substantially shorter than local ICB pathway queues, offering timely assessment and reducing ongoing health and vocational impairment. To support clinical triage and GP referral documentation, I have highlighted my key symptoms and everyday functional challenges below: • Persistent difficulties with attention regulation, executive dysfunction, and task initiation causing ongoing functional impairment in daily and occupational activities. I kindly request that you review this application and process the referral directly to the provider above along with any required preliminary screening scales (e.g. ASRS v1.1 / Weiss Functional Impairment screener). Thank you for your support with this referral. Yours sincerely, [Your Full Name] Date of Birth: [Your Date of Birth]