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Parent’s Name: _____ Parent’s Phone Number: _____ Directions: Each rating should be considered in the context of what is appropriate for the age of your child. When completing this form, please think about your child’s behaviors in the past 6 months.
The NICHQ Vanderbilt Assessment Scales are used by health care professionals to help diagnose ADHD in children between the ages of 6- and 12-years. NICHQ is proud to have published the first edition in 2002 and has been at the forefront of supporting children and families affected by ADHD.
VANDERBILT ADHD DIAGNOSTIC PARENT RATING SCALE. Today’s Date: Age: Each rating should be considered in the context of what is appropriate for the age of your child.
Vanderbilt Assessment Scale: ADHD Toolkit Parent-informant Form CLEAR FORM Age: ADHD Child's name: Date: Parent's name: DOB: Directions: Each rating should be considered in the context of what is appropriate for the age of your child. When completing this form, please think about your child's behaviors in the past 6 months.
The Vanderbilt Assessment Scales are included as part of Caring for Children With ADHD: A Practical Resource Toolkit for Clinicians, 3rd Edition.
Vanderbilt Assessment Scale – Parent Informant Directions: Each rating should be considered in the context of what is appropriate for the age of your child. Circle the appropriate rating. When completing this form, please think about your child’s behaviors in the past 6 months.
Age: Directions: Each rating should be considered in the context of what is appropriate for the age of your child. When completing this form, please think about your child’s behaviors in the past 6 months. This evaluation is based on a time when your child: Was on medication.
Each rating should be considered in the context of what is appropriate for the age of your child. When completing this form, please think about your child’s behaviors in the past 6 months. Is this evaluation based on a time when the child. was on medication.
NICHQ-Vanderbilt-Assessment-Scales. Directions: Each rating should be considered in the context of what is appropriate for the age of your child. When completing this form, please think about your child’s behaviors in the past 6 months.
The initial assessment scales, parent and teacher, have 2 compo-nents: symptom assessment and impairment in performance. On both the parent and teacher initial scales, the symptom assess-ment screens for symptoms that meet criteria for both inattentive (items 1–9) and hyperactive ADHD (items 10–18).