Development - Autism Diagnostic
Development - Autism Screening
TM
TM
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ASET Symptom Checklist 6+
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Autism Quotient 10 Parent Version
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Autism Quotient 10
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Autism Quotient 10 Parent of Teen Version
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First Year Inventory
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Q-CHAT-10 and M-CHAT-R
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Q-CHAT/POSI-O
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Quantitative Checklist for Autism in Toddlers (10 items, includes graphics) (Q-CHAT 10)
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Quantitative Checklist for Autism in Toddlers (10 items, includes graphics) - revised Ordinal scoring
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Quantitative Checklist for Autism in Toddlers (25 items, includes graphics) (Q-CHAT 25)
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Social and Communication Disorders Checklist - Parent (SCDC)
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Social Responsiveness Scale™, Second Edition - Preschool (SRS-2)
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Social Responsiveness Scale™, Second Edition - School Age, Parent Respondent (SRS-2)
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Social Responsiveness Scale™, Second Edition - School Age, Teacher Respondent (SRS-2)
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Survey of the Well-being of Young Children
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Video-Referenced Rating of Reciprocal Social Behavior - 18-30 Month Version
Development - Feeding
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CHADIS 0-3: Feeding
Development - History
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CIRENE Developmental Questionnaire (0-5 years) and (6-18 years)
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First Visit Questionnaire (Medical and developmental intake)
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Okinawa/Developmental History
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Pregnancy, Birth and Development History
Development - Language
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Infant Development Inventory: Language Domain
Development - Motor
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Infant Development Inventory: Fine Motor Domain
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Infant Development Inventory: Gross Motor Domain
Development - Screening
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Parents' Evaluation of Developmental Status (PEDS)*
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Parents' Evaluation of Developmental Status Q12 (PEDS Q12)*
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PEDS: DM Questionnaire*
General Medical - Asthma
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Asthma: Asthma Control Test (ACT) for People 12 Years and Older (ACT-12+)
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Asthma: Childhood Asthma Control Test for Children 4 to 11 Years (ACT-4-11)
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Asthma History
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Asthma Medications
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Asthma Medications Without Adherence Questions (Asthma Medications 2.0)
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Asthma Priorities
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Colorado Pediatric Collaborative Asthma Data Collection Form
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Pediatric Asthma Control & Communication Instrument (PACCI) 1.1 (PACCI)
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Test for Respiratory and Asthma Control in Kids - (TRACK)
General Medical - Bright Futures Including Safety
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Bright Futures Pre-visit Questionnaires© (First-week visit - 18-21 year visit)* Copyright © 2019 American Academy of Pediatrics. All rights reserved.
General Medical - Safety Tools Used for Bright Futures Focus
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Safety Checklist: Prenatal
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Safety Checklist: 1 Week through 10.5 Months
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Safety Checklist: 10.5 Months through 4 Years
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Safety Checklist: 5-10 Years
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Safety Checklist: 7-10 Years (Youth)
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Safety Checklist: 11-17 Years (Parent/Guardian)
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Safety Checklist: 11-17 Years (Youth Report)
General Medical - Clinic Specific Introductory Questionnaires
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CHOP Introductory Questionnaire
General Medical - Data Collection
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Adolescent Health Screen
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Adverse Childhood Experiences and Positive Childhood Experiences (ACE/PCE)
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Advocate Medical Group Intro
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Autoimmune Encephalopathy Clinic Intake For
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CDC Coronavirus Self-Checker for Children 0-18
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Challenging Parts of Parenting
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Child and Family Questionnaire
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Children with Special Health Care Needs Screener© (CSHCN Screener©)
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Communication Preferences (JCAHO) and Patient Safety Screen
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Developmental and Behavioral Questionnaire for Children and Adolescents
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DHCS 7098 A - Staying Healthy Assessment 0-6 Months (SHA 0-6 Months)
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DHCS 7098 B - Staying Healthy Assessment 7-12 Months (SHA 7-12 Months)
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DHCS 7098 C - Staying Healthy Assessment 1-2 Years (SHA 1-2 Years)
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DHCS 7098 D - Staying Healthy Assessment 3-4 Years (SHA 3-4 Years)
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DHCS 7098 E - Staying Healthy Assessment 5-8 Years (SHA 5-8 Years)
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DHCS 7098 F - Staying Healthy Assessment 9-11 Years (SHA 9-11 Years)
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DHCS 7098 G - Staying Healthy Assessment 12-17 Years (Teen Self Report) (SHA 12-17 Years)
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Goals for Change
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Initial Patient History
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Medication Side Effects (Parent)
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Medication Side Effects (Teacher)
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Ogden Patient Demographics Available in English Experimental
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One year injury history
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Parent’s Adolescent Health Screen
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Parent's Concerns
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Patient Annual Update
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Patient Demographics - General
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Positive Childhood Experiences (PCE)
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Pre Appointment COVID Screener
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Safety Checklist: 1 Week through 9 Months
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Safety Checklist: Newborn
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Safety Checklist: Prenatal
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The Child Health Center Well Visit Form 0-5 Months
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Visit Priorities and Best and Hardest Parts of Parenting
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Visit Priorities, Best and Hardest Parts of Parenting, and Review of Systems
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Visit Priorities, Best and Hardest Parts of Parenting, ROS, and Chronic Conditions
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Visit Priorities, Chronic Conditions, and Best and Hardest Parts of Parenting
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Visit Priorities with Chronic Condition
General Medical - EPSDT
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DHCS 7098 A - Staying Healthy Assessment 0-6 Months (SHA 0-6 Months)
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DHCS 7098 B - Staying Healthy Assessment 7-12 Months (SHA 7-12 Months)
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DHCS 7098 C - Staying Healthy Assessment 1-2 Years (SHA 1-2 Years)
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DHCS 7098 D - Staying Healthy Assessment 3-4 Years (SHA 3-4 Years)
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DHCS 7098 E - Staying Healthy Assessment 5-8 Years (SHA 5-8 Years)
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DHCS 7098 F - Staying Healthy Assessment 9-11 Years (SHA 9-11 Years)
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DHCS 7098 G - Staying Healthy Assessment 12-17 Years (Teen Self Report) (SHA 12-17 Years)
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EPSDT-Anemia Screen
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EPSTD - Arizona (1 mo - 24 mo)
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EPSDT Fluoride v2.0 -Maryland
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EPSDT - Full Version Maryland
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EPSDT (Health Risk): without questions on HIV or chemotherapy (EPSDT)
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EPSDT - Heart Risk - Maryland
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EPSDT-High Cholesterol Screen
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EPSDT-High Cholesterol Screen: hereditary risk factors only
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EPSDT IVR
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EPSDT Lead Screening – Arkansas (Arkansas Lead Screening)
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EPSDT-TB Screen
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EPSDT - TX (Health Risk)
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Lead Questionnaire - TX - No Opt-out
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EPSDT-VA-Lead Screen
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HCY Lead Risk Assessment Guide- Missouri
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Illinois Dept. of Public Health: Child lead risk
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Lead and Tuberculosis Exposure Screening
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Lead Exposure Risk Assessment Questionnaire for Children (BCHP)
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Lead Risk Assessment – Rhode Island
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Lead Screening Questionnaire - TX
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Maryland Healthy Kids Preventive Screen - Anemia/STI for Child/Teen Completion
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Maryland Healthy Kids Preventive Screen - Lead/TB/CVD for Adult Completion
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Maryland Healthy Kids Preventive Screen - Short Version
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MD EPSDT
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MD EPSDT - Fluoride
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MD EPSDT - Heart Disease
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MD EPSDT - Lead
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MD EPSDT - Tuberculosis
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Pediatric TB Risk Assessment Form - Illinois
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Tennessee Tuberculosis Screening Evaluation
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Tuberculosis Risk Assessment (BCHP)
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Tuberculosis Screening Questionnaire - TX
General Medical - Family History
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Family Cardiac History
General Medical - General Medical
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Checkup Questionnaire: Nutrition, TB, Social Determinants of Health
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Hooked on Nicotine Checklist
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Safety Checklist: Newborn Safety Checklist
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Safety Checklist: Prenatal
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Safety Checklist: 1 Week through 10.5 Months
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Safety Checklist: 10.5 Months through 4 Years
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Safety Checklist: 5-10 Years
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Sexuality and Gender Questionnaire
General Medical - Healthy Habits/Fitness
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24 Hour Food Recall
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Fit Kid Healthy Habits Questionnaire
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Health Habits Questionnaire Ages 10+
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Obesity Consult General Intake Form
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Oral Risk Assessment Tool
General Medical - Medical Home Specific
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Child Medical History
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Children with Special Health Care Needs Screener© (CSHCN Screener©)
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Communication Preferences (JCAHO) and Patient Safety Screen
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Medical Home Survey
General Medical - Past History
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National Center for Medical Home Implementation
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Pregnancy and Perinatal History
General Medical - Sleep
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Childhood Sleep Questionnaire
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HIBOU
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HIBOU: (for presentation in French only)
General Medical - Social Determinants of Health
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Adverse Childhood Experiences Questionnaire (ACE-Q) Child; Child Anonymous CYW
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Children Experiencing Homelessness Initial Student Screening Tool (School Nurse Admin.)
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Family Assessment of Safety and Stress Plus Barriers (FASS Plus)
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Health Screening - SDoH
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HealthySteps Family Needs Questionnaire
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PC-PTSD
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PRAPARE: Protocol for Responding to and Assessing Patient Assets, Risks, and Experiences
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PEARLS: Pediatric ACEs and Related Life Events Screener - Child (Parent/Caregiver Report) - Deidentified
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PEARLS: Pediatric ACEs and Related Life Events Screener - Child (Parent/Caregiver Report) - Identified
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PEARLS: Pediatric ACEs and Related Life Events Screener - Teen (Parent/Caregiver Report) - Deidentified
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PEARLS: Pediatric ACEs and Related Life Events Screener - Teen (Parent/Caregiver Report) - Identified
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PEARLS: Pediatric ACEs and Related Life Events Screener - Teen (Self Report) - Deidentified
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PEARLS: Pediatric ACEs and Related Life Events Screener - Teen (Self Report) - Identified
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SCC Psychosocial for Colorado
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SEEK - Safe Environment for Every Kid (SEEK)
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Youth Health Questionnaire - Parent (with TEENSAFE and without TEENSAFE)
General Medical - Special Health Care Needs
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Abnormal Involuntary Movement Scale (AIMS 1)
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Kennedy Krieger Independence Scales - Spina Bifida Version (KKIS-SB)
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Life Clinic Neuro-Behavioral Questionnaire
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World Health Organization Disability Assessment Schedule 2.0 Proxy 12-item (WHODAS)
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World Health Organization Disability Assessment Schedule 2.0 Proxy 36-item (WHODAS)
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World Health Organization Disability Assessment Schedule 2.0 Self 12-item (WHODAS)
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World Health Organization Disability Assessment Schedule 2.0 Self 36-item (WHODAS)
General Medical - Sports
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MHSA Confidential Athletic Pre-participation Physical Exam (Sports Physical)
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Sport Concussion Assessment Tool 2: Symptom Evaluation (SCAT2: Symptom Evaluation)
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Sport Concussion Assessment Tool – 3rd ed: Parent symptom evaluation for patients 5 to 12 years old (SCAT3- Parent report)
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Sport Concussion Assessment Tool – 3rd ed: Self-administered background and symptom evaluation for patients 13+ (SCAT3: Self-report)
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Sport Concussion Assessment Tool – 3rd ed: Self-administered symptom evaluation for patients 5 to 12 years old (Child-SCAT3- Self-report)
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Sport Concussion Assessment Tool ™ - 6 Child Immediate Assessment /Neuro Screen
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Sport Concussion Assessment Tool ™ - 6 Child Athlete Information and Concussion History
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Sport Concussion Assessment Tool ™ - 6 Child Off-Field Assessment
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Sports Participation Questionnaire (Illinois)
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Sports Participation Questionnaire (General) Available in English
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Sports Physical Clinical Tool
General Medical - Teen/GAPS
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Adolescent Questionnaire Combined
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Adolescent Questionnaire Youth
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BEARS Sleep Screening Tool (Adolescent / Self-report)
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Goals Questionnaire
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Transition Readiness Assessment Questionnaire (TRAQ)
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Transition Readiness Assessment Questionnaire - 23-item version (TRAQ)
General Medical - Vaccine Information/Consent
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Influenza Vaccine Consent and Screening Form
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Influenza Vaccine Consent and Screening Form (Revised without intranasal)
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Screening Checklist for Contraindications to Vaccines for Children and Teens
Mental Health - ADHD
TM
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Barkley Deficits in Executive Functioning Scale-Children and Adolescents
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CADDRA Teacher Assessment Form Available in English, French (Canada)
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Medication Questionnaire
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Medication Side Effects (Teacher)
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Pictorial Pediatric Symptom Checklist 35-item
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Pictorial Pediatric Symptom Checklist 35-item Youth Report
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School Intervention Questionnaire
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Teacher's Report Form for Ages 6-18 (TRF 6-18)
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Vanderbilt Follow-Up Parent Informant
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Vanderbilt Follow-Up Parent Informant (with Medication Supplement)
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Vanderbilt Follow-Up Teacher Informant
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Vanderbilt Follow-Up Teacher Informant (with Medication Supplement)
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Vanderbilt Initial Parent Informant
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Vanderbilt Initial Parent Informant (with Medication Supplements)
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Vanderbilt Initial Teacher Informant
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Vanderbilt Initial Teacher Informant (with Medication Supplement)
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Weiss ADHD Co-morbid Health Screen (WACS)
Mental Health - Abnormal Movements
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Level I Assessment for Children with Tics and/or Tourette Syndrome - Dynamic Version
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Yale Global Tic Severity Scale (YGTSS)
Mental Health - Anxiety
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Pictorial Pediatric Symptom Checklist 35-item
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Pictorial Pediatric Symptom Checklist 35-item Youth Report
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Spence Preschool Anxiety Scale
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Screen for Child Anxiety Related Disorders (SCARED: Parent Report)
Mental Health - Depression/Mood Disorders/Suicide
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Adolescent Screen - 3 with ASQ/suicide
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Adolescent Screen - 3 with PHQ-9 + suicide items
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Adolescent Screen 4 - For waiting room use only
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Ask Suicide Screening Questions (ASSQ)
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Brief Early Childhood Screening Assessment w/ Depression
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Center for Epidemiological Studies Depression Scale for Children (CES-DC)
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Columbia-Suicide Severity Rating Scale
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Mood and Feelings Questionnaire: Child Self-Report Long Version
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Mood and Feelings Questionnaire: Child Self-Report Short Version
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Mood and Feelings Questionnaire: Parent Self-Report Short Version (MFQ: Parent Self-Report Short Version)
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Mood and Feelings Questionnaire: Parent Self-Report Long Version
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Multidimensional Behavioral Health Screen 2.0
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Patient Health Questionnaire-9 PHQ-9 (Cut Score 8)
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Patient Health Questionnaire-9 Modified
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Patient Health Questionnaire-9 Modified-Less Suicide Questions (PHQ-9-M less suicide)
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Pictorial Pediatric Symptom Checklist 35-item
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Pictorial Pediatric Symptom Checklist 35-item Youth Report
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The 7 Up 7 Down Inventory
Mental Health - Diagnostic
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DIPA ADHD
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DIPA Anxiety
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DIPA Bipolar
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DIPA Conduct Disorder (DIPA CD)
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DIPA MDD and DMDD
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DIPA ODD
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DIPA PTSD
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DIPA RAD/Disinhibited Social Engagement Disorder
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DIPA Sleep Disorders
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DSM-PC Diagnostic Questionnaire (DSM-PC)
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Weiss Functional Impairment Rating Scale – Parent Report (WFIRS-P)
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Weiss Symptom Record (WSR)
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Weiss Symptom Record II
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Weiss Symptom Record II without Suicide Items
Mental Health - Eating Disorders
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Avoidant/Restrictive Food Intake Disorder Screen (9-item/11-item) Child version (ARFID)
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Avoidant/Restrictive Food Intake Disorder Screen (9-item/11-item) Parent version (ARFID)
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Eating Attitudes Test (EAT 26)
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SCOFF
Mental Health - Educator/Teacher Administered
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Adaptive Behavior Assessment System Third Edition Teacher Form (Ages 2-5) (ABAS-3)*
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Adaptive Behavior Assessment System Third Edition Teacher Form (Ages 5-21) (ABAS-3)*
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ADHD Rating Scale-IV - Preschool Version (Teacher version)
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CADDRA Teacher Assessment Form
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Caregiver-Teacher Report Form for Ages 1 1/2 - 5 (for use in daycare settings) (CTRF 1 1/2 - 5)*
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Conners 4™ - ADHD Index Teacher*
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Conners 4™ - Teacher*
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Conners 4™ - Teacher Short*
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Conners 4™ - Global Index Teacher*
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Medication Side Effects (Teacher)
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School Intervention Questionnaire, Mississippi Edition
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Social Responsiveness Scale™, Second Edition - School Age, Teacher Respondent (SRS-2)*
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Strengths and Difficulties Questionnaire (SDQ) Teacher Version (2-4; 4-10; 11-17)*
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Teacher Caregiver Therapist Form
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Teacher's Report Form for Ages 6-18 (TRF 6-18)*
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Teacher Report of School Functioning
Mental Health - Family/Environment
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Alabama Parenting Questionnaire - Short Form APQ-9
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Alcohol Use Disorders Identification Test—Consumption (AUDIT-C)
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Demographics-Long (Research Only) Available in English
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Demographics-Short
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Family Demographics
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Family Questions
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Home and School Environment (Social History)
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McMaster Family Assessment Device, General
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PRAPARE: Protocol for Responding to and Assessing Patient Assets, Risks, and Experiences (PRAPARE)
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Protective Factors Survey (PFS)
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PSI-4 Short Form (Requires Permission for Use - Contact AM) (PSI-4-SF)*
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Reach out and Read (Pediatric Survey)
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Safe Environment for Every Kid (SEEK); SEEK-PLUS (F/U with barriers)
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SCC Psychosocial for Colorado
Mental Health - Infant Screeners
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0-3 Overall Appraisal of Functioning
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Brief Early Childhood Screening Assessment w/ Depression (Brief ECSA w/ Depression)
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Brief Early Childhood Screening Assessment w/ Stress (Brief ECSA w/ Stress)
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CHADIS 0-3: All Domains
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CHADIS 0-3: Feeding
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CHADIS 0-3: Life Events
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CHADIS 0-3: Regulation
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CHADIS 0-3: Sleep
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CHADIS 0-3: Worries and Moods
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Challenging Parts of Parenting
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Child Behavior Checklist for Ages 1 1/2-5 - research (CBCL 1½-5)*
Mental Health - OCD
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Child Obsessional Compulsive Inventory-Revised Parent Report 10
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Child Obsessional Compulsive Inventory-Revised Self Report 10
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Obsessive Compulsive Inventory- Child Version (OCI-CV)
Mental Health - Preschool Screeners
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0-3 Overall Appraisal of Functioning
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Adaptive Behavior Assessment System Third Edition Parent Form (Ages 0-5) (ABAS-3)*
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Ages & Stages Questionnaires™: Social-Emotional (36 mos - 60 mos) ASQ: SE-2™, © 2015 Brookes Publishing Co.*
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Caregiver-Teacher Report Form for Ages 1 1/2 - 5 (for use in daycare settings) (CTRF 1 1/2 - 5)*
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Child Behavior Checklist for Ages 1 1/2-5 French Version*
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Strengths and Difficulties Questionnaire Functional Assessment: Parent Follow-Up for Ages 4+*
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Strengths and Difficulties Questionnaire Functional Assessment: Parent Follow-Up*
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Strengths and Difficulties Questionnaire (SDQ) Parent Version for ages 2-4 (SDQ Parent: Age 2-4) *
Mental Health - School Aged Screeners
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Adaptive Behavior Assessment System Third Edition Parent Form (Ages 5-21) (ABAS-3)*
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Brief Problem Monitor (Parent 6-18; Teacher 6-18; Youth 11-18)*
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CHADIS DSM 5 Questionnaire (DSM-PC 5 - All modules)
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Challenging Behaviors for AZ
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Child Behavior Checklist for Ages 6-18 (CBCL 6-18)*
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Child Behavior Checklist for Ages 6-18 French Version (CBCL 6-18)*
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Children’s Affective Lability Scale (CALS)
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Conners 3™ - ADHD Index Parent*
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Conners 3™ - Global Index Parent*
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Conners 3™ - Parent*
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Conners 3™ - Parent Short*
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Difficulties in Emotion Regulation Scale (DERS)
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DSM-PC5 ADHD
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DSM-PC5 Anxiety
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DSM-PC 5: Concerns
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DSM-PC5 Conduct
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DSM-PC5 Mood
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Mood and Feelings Questionnaire: Child Self-Report Long Version
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Mood and Feelings Questionnaire: Child Self-Report Short Version
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Mood and Feelings Questionnaire: Parent Self-Report Long Version
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Mood and Feelings Questionnaire: Parent Self-Report Short Version
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Pictorial Pediatric Symptom Checklist 17-item Parent Version
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Problem Behavior Checklist
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Strengths and Difficulties Questionnaire Functional Assessment©*
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Weiss ADHD Comorbid Health Screen (WACS)
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Weiss Functional Impairment Rating Scale – Parent Report (WFIRS-P)
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Weiss Functional Impairment Rating Scale – Parent Report averages (WFIRS-P)
Mental Health - Social Skills
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Pictorial Pediatric Symptom Checklist 17-item Youth Report
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Self-Description Inventory
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Social Skills Inventory
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Mental Health - Substance
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Alcohol Use Disorders Identification Test—Consumption (AUDIT-C)
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CRAFFT+N-HONC
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CRAFFT+N Questionnaire Self Administered Version 2.1
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Hooked on Nicotine Checklist
Mental Health - Teen Administered
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Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist Adolescent Screen - 3 with ASQ/suicide
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Adolescent Screen - 3 with PHQ-9 + suicide items
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Adolescent Screen 4 - For waiting room use only
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Alcohol Use Disorders Identification Test—Consumption (AUDIT-C)
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Ask Suicide Screening Questions (ASQ)
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Center for Epidemiological Studies Depression Scale for Children (CES-DC)
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CHAMPS revision
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CBCL: Youth Self-Report for Ages 11-18 (YSR 11-18)*
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Child's Reaction to Traumatic Events Scale (CRTES)
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CRAFFT Questionnaire Self Administered Version 2.1 (CRAFFT Self Administered)
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CRAFFT+N Questionnaire Self Administered Version 2.1 (CRAFFT+N Self Administered)
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HEADSS (Home, Education, Activities, Drugs, Sexuality, and Suicide)
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Mood and Feelings Questionnaire: Child Self-Report Short Version (MFQ: Child Self-Report Short Version
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Patient Health Questionnaire-9 Modified (PHQ-9) MacArthur Scoring
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Patient Health Questionnaire-9 Modified-Less Suicide Questions (PHQ-9-M less suicide)
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Patient Health Questionnaire-9 Modified (w/o MDD/Dysthymia)
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Pediatric Symptom Checklist 35-item Youth Report with Suicide Related Questions
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Pediatric Traumatic Stress Screening Tool (11+)
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Pictorial Pediatric Symptom Checklist 17-item Youth Report
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Problematic and Risky Internet Use Screening Scale 3/18 (PRIUSS 3/18)
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Relational Self-Schema Measure (RSSM)
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Screen for Adult Anxiety Related Disorders (SCAARED)
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Screen for Child Anxiety Related Disorders (SCARED) Child Version (To be filled out by the CHILD) (SCARED: Child Report)
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SCOFF
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Teen Check-In with Moods and Feelings Questionnaire: Short Version
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Trauma Responsive School Implementation Assessment
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Trauma-Sensitive Efficacy Scale
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Youth Health Questionnaire
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Youth Health Questionnaire (YHQ with Goals)
Mental Health - Teen/Parent Administered
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Abilities and Interests
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Adverse Childhood Experiences Questionnaire (ACE-Q) Teen (Anonymous) CYW (ACE-Q Teen (Anonymous) CYW)
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Adverse Childhood Experiences Questionnaire (ACE-Q) Teen CYW (ACE-Q Teen CYW)
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Child Behavior Checklist for Ages 6-18 French Version* (CBCL 6-18)
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Parent Check-In with Moods and Feelings Questionnaire: Short Version
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Strengths and Difficulties Questionnaire (SDQ) Parent Version, Ages 11-17*
Mental Health - Trauma
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Adverse Childhood Experiences Questionnaire (ACE-Q) Teen Self-Report (Anonymous) CYW (ACE-Q Teen Self-Report (Anonymous) CYW)
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Adverse Childhood Experiences Questionnaire (ACE-Q) Teen Self-Report CYW (ACE-Q Teen Self-Report CYW)
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Child's Reaction to Traumatic Events Scale (CRTES)
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Connecticut Trauma Screener - Caregiver Report (CTS - Caregiver Report)
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Connecticut Trauma Screener - Child Report (CTS - Child Report)
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PC-PTSD
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Pediatric Traumatic Stress Screening Tool (6-10) ©2020 Intermountain Healthcare
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Pediatric Traumatic Stress Screening Tool (11+)
-
PTSD Checklist for DSM 5 with Life Events Checklist for DSM-5 (PCL-5 with LEC)
Clinician Tools
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Ask Suicide Screening Questions (ASQ)
-
CRAFFT+N Questionnaire Clinician Version 2.1 (CRAFFT+N Clinician)
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Clinical Global Impression (CGI)
-
Physical and Neurological Examination for Subtle Signs (PANESS)
-
Sport Concussion Assessment Tool – 3rd ed: Clinician tool for patients 5 to12 years old (Child-SCAT3- Clinician tool for 5-12 years)
-
Sport Concussion Assessment Tool – 3rd ed: Clinician tool for patients 13 years and older (SCAT3: Clinician tool 13+ years )
-
Sports Physical Clinical Tool
-
Theory of Mind
Consent
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Exchange of Information Consent for ADHD Care
-
Pre Camp Form
Quality Monitoring/Satisfaction
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CHADIS Feedback Questionnaire: Parent Version
-
Hampton Pediatrics Patient Satisfaction Survey
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Parent's View of Child's Health Care
-
Pro-PHDS 3-9 Months
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Pro-PHDS 10-18 Months
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Pro-PHDS 19-48 Months
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Service Provider Questionnaire
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Session Alliance Inventory (Patient Version)
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Treatment Acceptability Rating Form (TAR-F)
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Working Alliance Inventory - Short Revised (WAI-SR) Available in English Experimental
* These questionnaires may have an additional cost associated with them. Ask your account manager or sales representative for details.