Rating Scales

Initial Intake Information Form

Diagnostic Survey Form

Empathy Evaluation

Brief Mood Survey - Pre-Session

Brief Mood Survey and Empathy Scale - Post-Session

PHQ-9 + GAD-7 (Depression and Anxiety Scales)

Screen for Child Anxiety Related Disorders (SCARED) Child/Adolescent Version

Screen for Child Anxiety Related Disorders (SCARED) Parent Version

Initial Vanderbilt ADHD Rating Scale - Caregivers

Follow-up Vanderbilt ADHD Scale - Caregivers

Initial Vanderbilt ADHD Rating Scale - Teacher

Follow-up Vanderbilt ADHD Scale - Teachers

Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist

CY-BOCS - Parent Report (Children's Yale-Brown Obsessive-Compulsive Scale)

Development Checklist - Short Form

CONFIDENTIALITY NOTICE: These forms and rating scales contain confidential information which is intended only for the use of the individual(s) or entitled named. All results and Patient Health Information (PHI) are confidential and comply with the Health Insurance Portability and Accountability Act (HIPAA)

If you would prefer to communicate PHI through alternative means, you may call your provider through our office and leave a confidential voice message at (717) 220-3128‬.

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