Forms & Assessment Tools
NICHQ - Vanderbilt
The NICHQ Vanderbilt Assessment Scales are used by health care professionals to help diagnose ADHD in children between the ages of 6 to 12 years.
The form must be completed by teachers and parents.
DSM-V Criteria
To meet diagnostic criteria for ASD according to DSM-5, a child must have persistent deficits in each of three areas of social communication.
Medication Request Form
Due to strict regulations surrounding stimulant and psychotropic medications, we are unable to accommodate emergency prescription requests. Please complete the form and email it to our team for review.
This form is intended for:
- Existing patients only
- Prescription requests that cannot be issued during your appointment because the medication is not yet due for renewal
SNAP IV
The SNAP-IV is a widely-used rating scale used to screen for Attention Deficit Hyperactivity Disorder. In its original form, the SNAP-IV had 90 items that evaluated hyperactivity-impulsiveness and inattention, as well as a variety of other psychiatric symptoms.
The form must be completed by both teacher and parents.