Disability Tax Credit Application

Have you had an Adult ADHD Assessment completed at the Adult ADHD Centre(Required)

Yes

No

We can only assist you with your Disability Tax Credit Application if you have been assessed at the Adult ADHD Centre.

If you have not been assessed at the Adult ADHD Centre, but have been diagnosed with ADHD, then your Disability Tax Credit Application should be completed by your health practitioner.

If you would like to be assessed for ADHD at the Adult ADHD Centre then please use this link: https://adultadhdcentre.com/assessment/private-adult-adhd-assessment/

Patient Information

Patient Name(Required)

First Last

Patient Email(Required)

Patient Phone Number(Required)

Patient Street Address(Required)

Street Address Address Line 2 City Province Postal Code

Patient Date of Birth(Required)

Billing Details

Billing information same as Patient

Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City Province Postal Code

Payment

Complete your payment of $350 CAD to get started.

Paying with PayPal

Using PayPal, you can pay with a credit card or a debit card. You do not need to have a PayPal account to make payment. If you already have a PayPal account you can also pay by the bank account linked to your PayPal account or with your PayPal balance.

Canadian Disability Tax Credit

Patient Information

Billing Details

Payment

Paying with PayPal