Attention Deficit
Screening Forms
Parent Form
Teacher Form
Return to Home Page
Parents, please download one copy of the parent form for each child
(unless the child lives part-time with separated parents in which case each parent should complete a separate form).

Then download one teacher form for EACH of your child's teachers.

Please return all completed forms to the office for the physician to review and score.

You will then receive a call to make an appointment for the physician to review the results and to establish a treatment plan for your child.