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 have so much trust in them to get him to the next goal they have for him. His therapists are excited to see that he’s growing and changing for the better and, as a parent, this makes you feel confident and calm.”

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  • "The hospital and staff have been nothing short of amazing with being there for her and me."

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  • “I feel stronger, independent, and more adaptable thanks to my therapy sessions at Children’s Specialized Hospital.”

    Melissa
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Patient Stories

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