Tonya will contact you once we have all the information and schedule the next two visits with your child’s pediatrician as well as a phone consultation with her. Often there is no need for further testing. Tonya and your pediatrician will review all of the information before you and your child return for the second visit to help anticipate diagnostic tests or specialty referrals your child may need. Report cards from the past two years are also helpful in our evaluation.
#Nichq vanderbilt assessment scale teacher informant professional#
If the school or another professional has done any other evaluations on your child please forward those to us before the second visit.
Alternatively, your teacher may fax the information back to us at (616) 949-6191. An envelope with our address is included for convenience. Please stress that we need this form returned as soon as possible so that our evaluation may proceed. We can either send an electronic copy via email or provide a paper copy for you to give to the teacher. This must be completed and returned to us before the second visit. This behavior rating scale has been developed specifically for teachers. NICHQ Vanderbilt Assessment Scale-TEACHER Informant.A copy of this form must be given to your child’s teacher in order for them to return the behavior rating scale to our physicians. Patient Authorization for Use and Disclosure of Protected Health Information.This letter explains the importance of their role in the diagnosis of your child’s learning or behavior problem. A letter of introduction and instruction from the physicians at Forest Hills Pediatric Associates.We will need ongoing communication with your child’s teacher in order to evaluate your child’s progress.You will be given a copy of this authorization and one will be kept in your child’s office chart.Īt the initial visit you will receive information that you must give to your child’s teacher: You will need to sign this form giving your child’s teacher permission to share the information asked in the behavior rating scale with your pediatrician. Because the diagnosis of ADHD is dependent on the evaluation of the child in two different settings, we will need both the parent and the teacher rating scale completed and returned before the second appointment. There is a separate behavioral rating scale designed for your child’s teacher. A behavioral rating scale designed for the parents or guardian of the child. NICHQ Vanderbilt Assessment Scale – PARENT Informant.We recommend that you read this carefully before the second visit. This discusses the diagnostic criteria, evaluation process, and treatment of ADHD. Understanding ADHD written by the American Academy of Pediatrics.Questionnaires that you and your child’s teacher must complete before we can further evaluate your child.ĭuring the first visit, Tonya will review:.Answers to questions that you may have about the diagnostic process.Information regarding the diagnosis and treatment options for Attention Deficit Hyperactivity Disorder.In this visit, we will gather a general idea of the problem, discuss what evaluations have already been done by the school, mental health or other health care providers, and review some history of your child and family. The first visit is with our ADHD care coordinator, Tonya Primeau, RN, and your child does not need to be present. There are three initial visits spaced about two weeks apart. Your pediatrician will evaluate any medical basis for your child’s problem and explore the emotional, behavioral, and learning aspects.įollowing evaluation, your child may be referred for additional consultations from a child neurologist, child psychologist, or child psychiatrist. The evaluation process is complex because there are many reasons for attention, behavior, and school difficulties with learning.
NICHQ Vanderbilt Assessment Scale - TEACHER Informantĭirections: Each rating should be considered in the context of what is appropriate for the age of your child youn are rating and should reflect that child's behavior since the beginning of the school year.Please indicate the number of weeks or months you have been able to evaluate the behaviors.For more detailed information regarding ADD/ADHD and its causes/symptoms, click here.
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