This HIPAA-compliant questionnaire provides us with important information that will be carefully considered in your child’s evaluation or treatment. Please provide as much detail as you feel is necessary.
We do not recommend using a cell phone to complete this questionnaire, as many items will not display well. Please use a computer or tablet instead.
You will not be able to save your progress, so please complete it in one session. It can take from 10-30 minutes to complete, depending on the level of detail you provide. Thank you!