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How do I fill this out?

Filling out this assessment involves carefully observing your child's behavior over the past weeks. Make sure to provide honest and thoughtful ratings based on your observations. Once completed, you can submit it to your child's pediatrician.

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How to fill out the NICHQ Vanderbilt Assessment Follow-up Parent Informant?

  1. 1

    Read the instructions thoroughly.

  2. 2

    Assess your child's behavior since the last evaluation.

  3. 3

    Provide an honest rating for each symptom.

  4. 4

    Fill in the performance section honestly.

  5. 5

    Submit the completed assessment to the pediatrician.

Who needs the NICHQ Vanderbilt Assessment Follow-up Parent Informant?

  1. 1

    Parents who suspect their child may have ADHD.

  2. 2

    Pediatricians needing comprehensive behavioral data.

  3. 3

    Schools looking for insights on student behavior.

  4. 4

    Child psychologists assessing behavioral challenges.

  5. 5

    Caregivers seeking guidance on child performance issues.

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What are the instructions for submitting this form?

Upon completing the Vanderbilt Assessment, you should submit the form to your child's pediatrician for review. You can send the form via email, fax, or through a secure online patient portal if available. For physical submission, make sure to contact your pediatrician's office for their mailing address.

What are the important dates for this form in 2024 and 2025?

Ensure to review and submit this form periodically, especially before annual pediatric visits or school assessments.

importantDates

What is the purpose of this form?

The NICHQ Vanderbilt Assessment is designed to gather detailed insights into a child's behavioral patterns. This assessment plays a critical role in diagnosing conditions like ADHD. It helps healthcare providers create tailored intervention plans based on the gathered data.

formPurpose

Tell me about this form and its components and fields line-by-line.

This form contains various components necessary for assessing the ADHD-related symptoms in children.
fields
  • 1. Today's Date: The current date the form is being filled out.
  • 2. Child's Name: Full name of the child being assessed.
  • 3. Parent's Name: The name of the child's parent filling the form.
  • 4. Date of Birth: The child's birth date for identification.
  • 5. Parent's Phone Number: A contact number for follow-up.
  • 6. Symptoms Rating: Assessment of various behavioral symptoms.

What happens if I fail to submit this form?

Failing to submit this form can delay essential assessments and interventions for your child. Without submission, healthcare providers may lack critical insights into your child's behavior. This oversight could lead to inadequate support or missed diagnoses.

  • Delayed Assessment: Not submitting the form may postpone important evaluations.
  • Inadequate Treatment: Healthcare providers may not receive necessary information to tailor treatments.
  • Lack of Data for Diagnosis: Missing data can hinder accurate diagnosis of ADHD and other conditions.

How do I know when to use this form?

Use this form when you observe concerning behaviors in your child that may indicate ADHD. It is particularly important for new evaluations or follow-ups for existing diagnoses. Consult with your child's healthcare provider when unsure about the timing of submissions.
fields
  • 1. Initial Evaluations: To gather a baseline of behavioral symptoms for new patients.
  • 2. Follow-up Evaluations: To track changes in behavior for ongoing assessments.
  • 3. School-Related Concerns: When a child's school performance raises concerns regarding attention or behavior.

Frequently Asked Questions

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Can I edit the assessment after downloading?

Yes! With PrintFriendly, you can edit the PDF anytime using our editing tools.

Is there a way to track my changes?

Yes! You can save versions of your edited PDF for tracking changes over time.

How should I fill out the assessment?

Carefully observe your child's behavior and provide honest ratings based on their behavior over the past weeks.

Can I print the form after editing?

Absolutely! You can print the edited PDF directly from PrintFriendly.

What format can I download the assessment in?

You can download the assessment in PDF format after editing.

Who should I submit the assessment to?

Submit the completed assessment to your child's pediatrician for evaluation.

Can multiple people collaborate on this assessment?

Yes, several users can access and edit the document collaboratively on PrintFriendly.

How often should I fill out the assessment?

It is recommended to fill out the assessment periodically, especially if behavioral changes occur.

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