Psychiatry New Patient Forms
If your child is younger than 8 years old, please complete the following forms:
If your child is 8 to 17 years old, please complete the following forms:
- Patient Questionnaire
- NICHQ Vanderbilt Assessment Scale
- Parent Screen for Child Anxiety Related Disorders (SCARED)
If your child is 8 to 17 years old, please have him or her complete the following form:
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Patient Screen for Child Anxiety Related Disorders (SCARED)
- It is recommended that children 8-11 years old completing the Screen for Child Anxiety Related Disorders (SCARED) questionnaire sit with an adult in case they have questions. Should you or child have additional questions regarding the questionnaire, your clinician will discuss questions and concerns with you at the time of your appointment.
If your child is 12 years and older, please complete the following form:
