Forms

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Admission questionnaires

Adult admission questionnaire

Child and Adolescent admission questionnaire for parents

Consent forms

Consent for release of information

Consent for release of school information

Office Policies

Privacy policy

Office policy

Mood charts

Mood log for adults

Mood log for children and adolescents

Scales and questionnaires

    Anxiety

           Hamilton Anxiety Scale (HAM-A)

    Social anxiety

           Liebowitz Social Anxiety Scale (L-SAS)

    Depression

           Hamilton Depression Scale (HAM-D)

    Attention deficit hyperactivity disorder

           SwansonADHD scale (SWAN)

    Pervasive developmental disorders

           Autism Behavior Checklist (ABC)

           Childhood Autism Rating Scale (CARS)

           Modified Checklist for Autism in Toddlers(M-CHAT) scoring

    Medication side effects scales

            Abnormal Involuntary Movements Scale (AIMS)

            Simpson Angus Scale (SAS)

            UKU Side Effect Scale

    Other scales and questionnaires

           SNAP-IV

           SNAP-IV instructions

           Cognitive Behavioral Therapy worksheet

           Cognitive Behavioral Therapy distortions

           Brief Psychiatric Rating Scale (BPRS)

           Minimental Status Exam (MMSE)

           Suicidal Behavior Questionnaire (SBQ-14)

           Suicidal Behavior Questionnaire (SBQ-R)

           Multidimensional Inventory of Dissociation 6.0 (MID)

           Adolescent  Multidimensional Inventory of Dissociation 6.0 (MID)

           Dissociative Experience Scale II

           Child Dissociative Chacklist (CDC)