Forms
Pediatric Intake Forms
- New Patient Demographic Form
- Child Intake Form
- ADHD Monitoring
- Childhood Asperger Syndrome Test
- Depression Scale for Children
- Clinical Attention Problem Scale
- Follow Up Visit Assessment
- Modified Checklist for Autism in Toddlers
- M-CHAT
- NICHQ Vanderbilt Assessment Scale
- Vanderbilt Parent Rating Scale
- Screen for Child Anxiety Related Disorders (SCARED)
- Screen for Child Anxiety Related Disorders (SCARED) – Parent Version
- Pediatric Symptom Checklist
- Pediatric Symptom Checklist Youth Report
- Strengths and Difficulties Questionnaire
- SEEK Parent Questionnaire A Safe Environment for Every Kid
- Self-checklist for Obsessive-Compulsive Disorder (OCD)
- ADHD Symptom Checklist-Child and Adolescent
- SPENCE CHILDREN’S ANXIETY SCALE
- SPENCE CHILDREN’S ANXIETY SCALE – Parent Report
- PRESCHOOL ANXIETY SCALE – Parent Report
- NICHQ Vanderbilt Assessment Scale-TEACHER Informant
- Teacher VANDERBILT
- Credit Card Authorization Form
- Policies and Procedures
Our services

ADD/ADHD
Is your child having difficulty staying focused in school or getting in trouble more often due to outbursts?
Depression
More than 16 million adults in the United States have experienced a major depressive episode.
Anxiety
Worry and nervousness about certain situations is a normal part of life. However, if you worry so much
Bipolar Disorder
Does your mood swing from one end of the spectrum to the other in the blink of an eye?
Autism
Is your child having difficulty staying focused in school or getting in trouble more often due to outbursts?
PTSD
Is your child having difficulty staying focused in school or getting in trouble more often due to outbursts?
Schizophrenia
Is your child having difficulty staying focused in school or getting in trouble more often due to outbursts?
Obsessive Compulsive Disorder
Is your child having difficulty staying focused in school or getting in trouble more often due to outbursts?