Pediatric Evaluation for ADHD

Offices in Williamsville & Alden, NY

The NICHQ Vanderbilt Parent and Teacher Assessment Forms are used to collect information that will allow your provider to make a diagnosis on and a treatment plan for ADHD. The NICHQ Vanderbilt Assessment Forms also screen for other coexisting conditions. If a screen is positive, a more detailed evaluation is warranted.

Please complete ALL of the following information and forms. It is important that both the parent as well as your child’s teacher(s) complete these documents.

The ADHD visit is an extensive evaluation that will require you and your child to be at our office for an extended visit.

For Parents

For Teachers


All data submitted is protected and secured using the highest standards required under HIPAA.

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