Back-to-School Well-Child Visit and Educator Tools
CHADIS Can Gather Back-to-school Well-Child Visit and Sport Participation Data.
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The perfect complement to telehealth for gathering data, follow-up, resources, and care coordination.
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CHADIS is a reminder system for well-child visits.
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Uses questionnaires to help clinicians and families communicate with educators.
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All answers are confidentially delivered directly to and from the clinician/educator, in compliance with FERPA and HIPAA.
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Having both classroom and home feedback is imperative to making each student’s year a success.
Here is a partial list of education and sports questionnaires available with CHADIS.
General Medical - Data Collection
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COVID Self-Checker - CDC for Children 0-18
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Family Cardiac HIstory
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Medication Side Effects (Teacher)
General Medical - Healthy Habits/Fitness
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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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24-Hour Food Recall
General Medical - Sleep
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BEARS Sleep Screening Tool (Adolescent / Parent report)
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BEARS Sleep Screening Tool (Adolescent / Self-report)
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BEARS Sleep Screening Tool (Preschool / Parent report)
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BEARS Sleep Screening Tool (School-aged / Parent report)
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BEARS Sleep Screening Tool (School-aged / Self-report)
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Children's Sleep Habits Questionnaire (CHSQ)
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Childhood Sleep Questionnaire
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HIBOU
General Medical - Sports
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Sport Concussion Assessment Tool 2: Symptom Evaluation (SCAT2: Symptom Evaluation)
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Sport Concussion Assessment Tool – 3rd edition: Clinician tool for patients 5 to 12 years old
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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 symptom evaluation for patients 5 to 12 years old (Child-SCAT3- Self-report)
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Sport Concussion Assessment Tool – 3rd edition: Clinician tool for patients 13 years and older
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Sport Concussion Assessment Tool ™ - 6 Athlete Information and Concussion History
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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 Immediate Assessment /Neuro Screen
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Sport Concussion Assessment Tool ™ - 6 Child Off-Field Assessment
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Sport Concussion Assessment Tool ™ - 6 Immediate Assessment /Neuro Screen
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Sport Concussion Assessment Tool ™ - 6 Off-Field Assessment
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Sports Participation Questionnaire (Illinois)
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Sports Participation Questionnaire (General)
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Sports Physical Clinical Tool
Mental Health - ADHD
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ADHD Developmental Intake Form
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ADHD Rating Scale-IV - Preschool Version
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CADDRA Teacher Assessment Form Available in English, French (Canada)
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Conners 3 & 4TM* (All versions)
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Goals for Change
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Goals Questionnaire
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Medication Questionnaire
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Medication Side Effects (Parent)
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Medication Side Effects (Teacher)
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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 - Educator/Teacher Administered
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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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Al's Pals Attendance
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Al's Pals Student Roster
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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 3™ - ADHD Index Teacher (Conners 3™ - AI-Teacher)*
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Conners 3™ - Teacher*
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Conners 3™ - Teacher Short*
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Conners 3™ - Global Index Teacher (Conners 3™ - GI-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'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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Home and School Environment (Social History)
Mental Health - School-aged Screeners
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Adaptive Behavior Assessment System Third Edition Parent Form (Ages 5-21)
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DSM-PC 5: Concerns
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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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Pediatric Symptom Checklist (PSC-17)
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Pediatric Symptom Checklist (PSC-35)
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Problem Behavior Checklist
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Strengths and Difficulties Questionnaire© (SDQ) 4-10*
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Strengths and Difficulties Questionnaire Functional Assessment©*
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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Child's Reaction to Traumatic Events Scale (CRTES)
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Kaiser Teen Questionnaire
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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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Pediatric Symptom Checklist 35-item Youth Report with Suicide Related Questions
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Problematic and Risky Internet Use Screening Scale 3/18 (PRIUSS 3/18)
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SCOFF
See the entire questionnaire list.