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Can I use an ADHD report for a family doctor transfer of care?

Quick answer

Yes. The healthcare-provider report from Finding Focus ($99) is written as a handoff document: it gives your family doctor the assessment method, the diagnosis, the treatment history and the monitoring plan they need to take over your ADHD care. Your doctor still decides whether to accept the transfer, and in Ontario the College of Physicians and Surgeons policy on accepting patients does not allow a refusal based only on the medications you take. Prescriptions do not move with the report; your doctor writes new ones once they have taken over.

Finding Focus Care TeamLast reviewed 8 min read
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Yes: the healthcare-provider report is the document a family doctor needs for a transfer of care

A transfer of care means your family doctor becomes the clinician responsible for your ADHD from that point on: prescribing, monitoring, and deciding when something needs to change. To take that on safely, they need the clinical record that led to the diagnosis, and that is what the $99 healthcare-provider report is for. It is a clinician-to-clinician document rather than a letter for an employer or a school, and it is priced separately from the assessment on the pricing page.

The report records that the assessment was conducted by video by a licensed nurse practitioner or clinician working with Finding Focus, that DSM-5-TR criteria were applied following CADDRA-aligned practice, which symptom presentation was found, which other conditions were screened for, and what treatment plan followed. If you have had medication check-ins since, it also includes the medication history and the vital signs recorded at each step. A family doctor reading it should be able to see how the conclusion was reached, not just what it was. Whether a family doctor will accept an online diagnosis at all is covered separately on the family doctor acceptance page.

A transfer of care has three parts, and the report covers only the first

The report is necessary but it is not the whole transfer. Three things have to move, and each moves differently.

  1. The clinical record. This is the report. Finding Focus sends it to your doctor with your written consent, or gives it to you to bring to your appointment.
  2. The prescription. A prescription is written under one prescriber's licence and cannot be taken over by another. Your family doctor writes a new prescription after reviewing the report and seeing you. If you also switch pharmacies, the Ontario College of Pharmacists explains that an active prescription for a controlled substance can be moved only pharmacist to pharmacist, under a class exemption issued by Health Canada, and that it becomes inactive at the original pharmacy once transferred.
  3. The follow-up plan. The report states the recommended check-in interval and what to monitor. Your doctor may keep that schedule or set their own. Nurse practitioner regulators such as the British Columbia College of Nurses and Midwives expect any prescriber to review a patient's medication history before prescribing, and family physicians work to the same expectation, so your first visit will usually include that review rather than an immediate renewal.

Your family doctor can review the report, see you first, or ask for more, but not refuse on the basis of your medication alone

Accepting a transfer is your doctor's clinical decision, and the report cannot make it for them. What they can reasonably do is read the report, book you for a visit before renewing anything, ask Finding Focus for a missing detail, or say that ADHD medication is outside their comfort and offer shared care instead. What they cannot do, at least in Ontario, is decline you as a patient because of the medication itself.

The College of Physicians and Surgeons of Ontario policy on accepting new patients states that physicians must not refuse prospective patients on the basis of high, complex or chronic health-care needs, or because of a history of prescribed opioids or psychotropic medication. Any acceptance criteria a physician does apply must be directly relevant to their clinical competence, scope of practice or focused practice area, and must be communicated clearly. That policy governs taking on a new patient; a doctor who already has you as a patient is expected to continue care within their competence. Other provinces' colleges publish their own policies on the same subject, and the refusal page sets out what to do if a doctor declines.

It also helps to know what primary care guidance already says about adult ADHD. The Centre for Addiction and Mental Health directs family physicians to the Adult ADHD Self-Report Scale that accompanies the CADDRA guidelines as a first step, and notes that the scale does not make the diagnosis. A family doctor who sees that the assessment went well beyond a screening scale, to a full DSM-5-TR interview and comorbidity screen, has the reassurance they need that the diagnosis rests on more than a questionnaire.

The handoff runs in five steps, usually across two appointments

The sequence below is the one that avoids gaps in treatment and duplicated work.

  1. Ask your family doctor whether they are willing to take over ADHD care, and whether they want the report before or at the first visit.
  2. Request the healthcare-provider report from Finding Focus and sign the consent for it to be sent directly to your doctor's office, or bring a copy yourself.
  3. Attend the transfer visit. Expect a medication history review, a check of blood pressure, heart rate and weight, and questions about how treatment has gone.
  4. Have your doctor write the new prescription and tell your pharmacy that the earlier prescription is being replaced.
  5. Cancel or pause any Finding Focus membership once your doctor has confirmed they are managing your care, so you are not paying for check-ins you no longer need.

If your doctor prefers shared care, where Finding Focus continues to prescribe and they handle everything else, the same report serves that purpose and the sequence stops at step three. The transfer of care page compares the two arrangements.

After the transfer, follow-up costs usually change and Finding Focus steps back

Once your family doctor has taken over, the ongoing fees at Finding Focus stop: there is no further need for the $29.99 monthly membership or the $74.99 per check-in fee, because the check-ins now happen with your doctor. Visits to a family physician for medically necessary care are generally insured services under provincial health plans, so most people find that routine ADHD follow-up no longer carries a direct fee. Check your own province's plan rules, since what is insured is defined by each province and not by any clinic.

What does not change is the clinical picture. Your doctor may reach a different view of your treatment after seeing you over time, may adjust the plan, or may refer you to a psychiatrist if something is unclear. That is a normal part of primary care, not a rejection of the report. Keep your own copy of the report and any diagnosis letter, since you may need them again for work, school or benefits paperwork. If at any point you are in crisis or thinking about harming yourself, call or text 9-8-8 or call 911; a transfer of care is never a reason to wait for help.

Common questions

Related questions, answered

No. Ask first, then send. The report is most useful when a doctor has already said they are open to managing ADHD and wants to see the record. Sending it unasked to an office that has not agreed to a transfer can leave it sitting in a chart with no one responsible for acting on it, while you assume the handoff has happened.

Yes, with your written consent. Finding Focus can send the report directly to the office you name, or provide it to you to bring in person. Either route is acceptable to most practices; direct transmission means the office has it on file before your visit, while carrying it yourself gives you a copy for your own records at the same time.

That is a shared-care arrangement rather than a full transfer. Your doctor keeps the report on file, handles your general health and monitoring, and Finding Focus continues to prescribe and review the medication at the usual check-in fees. Many family physicians prefer this, at least at first. The report serves both arrangements, so nothing needs to be rewritten if your doctor later decides to take over prescribing.

Rarely. The $49 standard diagnosis letter confirms that a diagnosis was made and by whom, which is enough for many administrative uses. A doctor taking clinical responsibility for a controlled medication normally wants the fuller $99 healthcare-provider report, which sets out the assessment method, the treatment history and the monitoring done to date.

Helpful next steps

References

  1. 1.College of Physicians and Surgeons of Ontario, Accepting New Patients policy View source ↗
  2. 2.Centre for Addiction and Mental Health, Adult ADHD: Screening and Assessment View source ↗
  3. 3.Ontario College of Pharmacists, Prescription Transfers fact sheet View source ↗
  4. 4.British Columbia College of Nurses and Midwives, Nurse Practitioners: Prescribing Drugs practice standard View source ↗
  5. 5.CADDRA, Canadian ADHD Practice Guidelines access page View source ↗

This article is for educational purposes only and is not medical advice, diagnosis, or treatment. Always consult a licensed healthcare professional about your individual situation. If you are in crisis or thinking about self-harm, call or text 9-8-8, Canada’s Suicide Crisis Helpline, at any time.

Finding Focus uses AI tools to help research and draft some articles. Every article is edited and fact-checked by the Finding Focus team before publication. See our editorial and medical review policy.

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