Pediatric Behavioral Health

Policies and Forms


To download a document, just click on its name.
We are also happy to mail or fax them to you.

Policies and Forms

  • Financial Agreement
  • Privacy Statement,
  • Information Release Form

    Initial Questionnaires
  • Birth to 5
  • Children (age 6 to 12)
  • Teenagers (age 13 and up)
  • Neuropsychological Evaluation (Child and Adolescent)

    Rating Scales
    In case you need another copy, the following forms are available for download. Please remember that these forms are only one component of your child's evaluation and that a particular "score" does not give a diagnosis. Your clinician will gladly review the results with you.