Questionnaires

CADDRA Teacher Assessment Form

Please have your child's teacher complete this form and either email or fax it back to us. If they have any questions they are free to contact our office.

M-CHAT

Please print this form and complete it if/when the doctor requests you to do so.

SCARED Form, Child

Screen for Child Anxiety Related Disorders; this screening questionnaire is for completion by the child/youth.

SCARED Form, Parent

Screen for Child Anxiety Related Disorders: this screening questionnaire is for completion by the parent or caregiver of the child/youth.

ADHD Screening (SNAP IV) Form

This screening survey is for the parent, teacher or older child/youth to complete in order to screen for ADHD. If these are completed ahead of the appointment time, it allows for a more efficient appointment. The completed forms can be faxed or emailed to our office