Preparing For Your Visit

On this page you will find a complete list of our patient forms. In an effort to provide the best customer service possible and minimize your wait time in our office, please review this list and bring in the necessary forms already completed.

In order to help speed up the process of checking in your child for his/her first visit with us, it will be helpful to print out the following forms at home and complete them prior to your visit with us.

18 month and 2 year check-ups: The M-CHAT is a screening test for autism that we use at these two visits. Please print this form and bring it with you on the day of your appointment completed.

Please print and fill out the first page (Part 2 - Medical History, Questions #1 - #40) prior to your visit.

Please print and fill out the first page (Questions #1 - #14) prior to your visit.

We are screening for anxiety with the SCARED forms in children 8 years and older. Please complete them prior to the visit and bring the forms with you to the appointment so that the provider can discuss the screenings with you.

We are screening for depression with the Patient Health Questionnaire 9 in all teens from ages 12 and up. Please complete prior to the visit and the screening will be discussed with you by the provider. This form is to be filled out by the CHILD.

Please print and fill out the first page (Part 2 - Medical History, Questions #1 - #40) prior to your visit.

If your child has never been diagnosed with ADD or ADHD, please complete the following paperwork prior to your child's first appointment for this evaluation. These questionnaires need to be completed, one by your child's teacher(s), and the other by the parent(s). The more forms that are completed, the more accurate the assessment will be. Please remember to bring all of these forms with you for your visit.

For all subsequent ADD/ADHD appointments, a teacher and parent Follow-Up Questionnaire need to be completed and brought with you to the appointment.