ADHD UK Logo
ADHD UK Logo

Media Call Out Form

Thank you for sharing and being a part of positive change for everyone impacted by ADHD

Please fill in this form

This field is hidden when viewing the form
This field is hidden when viewing the form
Regarding this shared care
This field is hidden when viewing the form
Your request for your NHS GP to provide your ADHD medication. To share care between your GP and your ADHD specialist diagnosis team.
This field is hidden when viewing the form
Your request for your NHS GP to provide your ADHD medication. To share care between your GP and your ADHD specialist diagnosis team.
This field is hidden when viewing the form
If unsure please just hazard your best guess.
This field is hidden when viewing the form
This field is hidden when viewing the form
This is particularly important for regional media who are keen to speak to people in their coverage area.
This field is hidden when viewing the form
This field is hidden when viewing the form
What age bracket are you?
There are some news sources keen on representation from specific age groups. If you are happy to please let us know your age band so we can let them know.
This field is hidden when viewing the form

Contact Information

We will pass this information on for you to be contacted. It is essential you fill in these contact details to either be contacted for recording an interview (if you've indicated you are happy with that) or to confirm your story and get/confirm quotes.
Please tick all that apply(Required)
Note: You can change your mind later and exactly what you are happy with will be discussed and confirmed by any journalist that contacts you.
Name(Required)
Email(Required)
News stories often need faster responses. If you are happy to give your phone number that can really assist the journalist speak to you more quickly. Not a problem if you can't.
This field is hidden when viewing the form
This field is hidden when viewing the form