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:

If your child is 8 to 17 years old, please have him or her complete the following form:

  • 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:

Patient Stories

  • “I’ve helped my buddy go from swimming with a noodle to swimming by themselves and it’s a really great feeling to be able to make some sort of difference on a child’s life and help them be able to swim,” remarked Emma.

    Emma
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  • “I love that the team incorporates whatever Kruz is interested in and makes it therapeutic. He loves balls, so they do a lot of catching and throwing to help him get more range of motion. They also play with a lot of bubbles which he loves.”

    Kruz
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  • “Not every child is the same, especially with down syndrome, and CSH was great at communicating where his strengths were, where his weaknesses were and what we should continue doing.”

    Sebastian
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Patient Stories

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